We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.
Published online by Cambridge University Press: 12 August 2009
HEAD AND NECK
Salivary Glands
What important structures lie within the parotid gland?
Facial nerve.
Retro-mandibular vein.
External carotid artery – bifurcating into its two terminal branches, the maxillary artery and the superficial temporal artery.
Can you outline the surface markings of the parotid gland for?
Using a marker begin a line from in front of the tragus of the ear and draw it into the middle of the cheek below the zygomatic arch. From here proceed downwards and backwards to a point 1 cm in front of the angle of the mandible. Then continue upwards and backwards 1–2 cm into the neck including the mastoid process. Finally draw your line around the ear to join up to the point from where we started. You will now have drawn a shape that approximates the position of the parotid.
What are the potential complications of parotid surgery?
Facial nerve damage.
Haematoma.
Frey's syndrome (gustatory sweating).
Numbness of the pinna (due to sacrifice of the greater auricular nerve).
Salivary fistula (in superficial parotidectomy only, as the cut gland left behind continues to secrete saliva).
Wound dimple.
During surgery how would you locate the facial nerve?
This can be done in three different ways:
by identifying the tip of the tragal cartilage with during the dissection – the facial nerve lies 1 cm inferior and deep to this cartilage;
[…]
To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Find out more about the Kindle Personal Document Service.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.
To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.
