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November 1960

Parotid Gland Surgery: Its Modern Anatomoclinical Basis

Author Affiliations

Turin, Italy

Arch Otolaryngol. 1960;72(5):581-592. doi:10.1001/archotol.1960.00740010593003

Introduction  The parotid gland is the most important organ in the glandular system connected with the upper air-digestive tracts. This system is composed of the greater salivary glands (parotid gland, submaxillary gland, sublingual gland) and of the lesser salivary glands (glands annexed to the trachea, to the bronchi, etc.). Some interesting anatomoclinical and surgical problems are connected with the parotid gland. They derive from the relationship of this gland with the facial nerve.Each neoplastic operation must make possible the removal of the tumor and must obviate recurrences, which often cause difficult surgical problems.Parotid surgery in the majority of cases, is concerned with excision of the so-called "mixed tumors," which have a far higher recurrence rate than other tumors of this gland. In these cases preservation of the anatomic and functional integrity of the facial nerve must not be attained by performing an operation that is not radical. In

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