Since in our experience facial paralysis has been a common sequela following the removal of malignant tumors of the parotid, we present herewith a description of our technic in removing the malignant parotid gland with the preservation of the facial nerve. We do not advise this radical procedure for simple encapsulated mixed tumors of the parotid; but we are in accord with Sistrunk in urging early diagnosis and early operation in such cases. However, we believe that there is need for a surgical procedure which will permit the complete removal of the parotid gland when these tumors have broken through their capsules into the parotid tissue. It must also be borne in mind that this radical operation should be performed if there is any doubt concerning metastasis from the encapsulated tumor into the parotid gland. Surgical measures should be instituted before the metastasis becomes so extensive as to break down
ADSON AW, OTT WO. PRESERVATION OF THE FACIAL NERVE IN THE RADICAL TREATMENT OF PAROTID TUMORS. Arch Surg. 1923;6(3):739–746. doi:10.1001/archsurg.1923.01110190082003
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