gms | German Medical Science

81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

Surgical management of facial nerve in parotid tumors

Meeting Abstract

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  • corresponding author Magdalena Chirila - UMF Cluj-Napoca, Cluj-Napoca, Romania
  • Marcel Cosgarea - UMF Cluj-Napoca, Cluj-Napoca, Romania

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 81. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hnod144

doi: 10.3205/10hnod144, urn:nbn:de:0183-10hnod1446

Published: April 22, 2010

© 2010 Chirila et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



In the surgery of tumors of the parotid gland the management of the facial nerve is very important. In fact, many authors declared as the surgery of parotid gland can be considered as the surgery of facial nerve. The features of 47 cases of parotid gland tumors observed at the Emergency County Hospital (Cluj-Napoca, Romania) are reported. In all cases a total or superficial parotidectomy was performed with/without neck dissection in case of neck metastases or electively in selected cases; high-grade malignancy necessitated nerve sacrifice; other frequent indications were preoperative facial-nerve paralysis, pain, rapid growth of the tumor or macroscopic tumor involvement. Radiotherapy was administrated in case of involvement of the facial nerve, and/or of the skin and/or of multiple neck metastases. The results of our experience emphasize as the neoplasms of the parotid gland can be treated sparing the facial nerve when it is clearly not involved without making worse prognosis. The minority of patients with parotid cancer who present with facial nerve palsy has a poor prognosis despite extensive surgical resection including the facial nerve.