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Resident's Corner
December 1, 2007

Emergency Parotidectomy for Penetrating Zone III Neck Trauma

Author Affiliations

RICHARD D.SCHULICKMDAuthor Affiliations:Division of Trauma and Critical Care, Departments of Surgery (Drs Morris and Miglietta) and Otolaryngology (Drs Morris, Sikora, Okun, and Roland), Bellevue Hospital Center Trauma and Shock Unit, New York University School of Medicine, New York. Dr Miglietta is now with the Division of Acute Care Surgery, New York–Presbyterian Hospital, Columbia College of Physicians and Surgeons, New York.

Arch Surg. 2007;142(12):1206-1208. doi:10.1001/archsurg.142.12.1206

Penetrating trauma to the face and upper zone III of the neck may present unique challenges when the parotid gland and associated neurovascular structures are involved. We report a case of massive hemorrhage from penetrating neck trauma that necessitated emergency parotidectomy for vascular exposure. Facial nerve repair was also necessary, underscoring the importance of this approach not only for successful vascular control but also for preservation of nearby vital structures. The management of penetrating trauma to the parotid region,and relevant anatomy, are discussed.

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