Professional Parotid Surgery Video With Tips to Identify Facial Nerve

Professional Parotid Surgery Video With Tips to Identify Facial Nerve

Parotid surgery, also known as parotidectomy, involves the removal of part or all of the parotid gland, which is the largest of the salivary glands located near the ear.

The procedure begins with thorough preoperative planning, including a comprehensive evaluation of the patient's medical history and imaging studies such as MRI or CT scans to assess the anatomy of the parotid gland and surrounding structures. This allows Dr. Akbar to tailor the surgical approach to each patient's specific needs and anatomy.

On the day of surgery, the patient is positioned comfortably on the operating table under general anesthesia. A carefully planned incision is made along the natural creases of the skin near the ear to minimize scarring. This incision provides access to the parotid gland while preserving cosmetic appearance.

Once the incision is made, Dr. Akbar meticulously dissects through the layers of tissue to expose the parotid gland. Special attention is paid to preserving important structures such as the facial nerve, which runs through the gland and controls facial movements. Identifying and carefully dissecting around the facial nerve is a critical aspect of the procedure to avoid damage and prevent facial paralysis.

https://youtu.be/Sp_gWKFxmP0

Parotid Surgery With Tips to Identify Facial Nerve

Dr. Akbar emphasizes several key landmarks crucial for identifying the facial nerve during parotid surgery:

- Transparotid Plane: Initially, the team clears tissue between the tragal pointer and the anterior border of the sternocleidomastoid muscle, creating a clear workspace termed the transparotid plane.

- Posterior Belly of Digastric: Dr. Akbar highlights the importance of identifying this muscle, which lies beneath the sternocleidomastoid muscle and often runs parallel to the facial nerve.

- Palpating the Mastoid: Palpation of the mastoid process aids in gaining insight into underlying anatomy and serves as a tactile guide for locating the facial nerve.

- Tympanomastoid Suture: Dr. Akbar instructs the team to locate this suture, as the facial nerve commonly lies just below it. It marks the fusion point between the temporal bone and mastoid process.

- Facial Nerve Bifurcation: Once the Tympanomastoid Suture is identified, Dr. Akbar directs the team to follow the main trunk of the facial nerve and identify its bifurcation into major branches.

These landmarks, Dr. Akbar emphasizes, are crucial for safely and accurately identifying the facial nerve during parotid surgery, minimizing the risk of damage and ensuring successful outcomes for patients.

This detailed exploration of Dr. Abbas's surgical methodology underscores the integral role these tips play in the success of parotid surgery. Advocating for a holistic and patient-centered approach, the surgical steps conclude with Dr. Abbas expressing gratitude, marking a significant milestone in the surgical intervention led by the highly skilled and experienced Dr. Akbar Abbas. The wealth of information shared in this post serves as a valuable resource for those seeking insights into the intricate nuances of parotid surgery.

This is an educational video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University Hospital.

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