SURGICAL RENEVAL OF THE PAROTIDS TUMORS - TECHNICAL APPROACH AND CONSEQUENCE FOR THE 7 - REPORT ON 42 CASES

Second or more surgical precedures on parotid are usualy difficult and may induce injury on the facial nerve. The authors report their exper ience about 42 patients. The choice between a total parotidectomy or a surgical excision of a tumor depends on the number of surgical proced ure, the type of initial procedure and the histological type of the tu mor. Second surgical procedures for a wrong initial diagnosis (11 case s) were always a total parotidectomy with facial nerve preservation. T he risk of a partial or total facial palsy is higher after severeral r ecurrences (3 of 8 cases). The facial nerve had to be resected in 3 of 9 cases of malignant tumors recurrences. The initial treatment of a t umor of the parotid must be radical so it can prevent for further surg ical procedures and then avoid a facial nerve injury.