Total parotidectomy under local anesthesia: a novel technique | [Journal of College of Physicians and Surgeons--Pakistan : JCPSP • 2007]

Author(s):

1. Kamran Shahid: Department of Biological and Biomedical Sciences, The Aga Khan University, Karachi. Pakistan.

2. Bilal Karim Siddiqui: Department of Medicine, Civil Hospital, Karachi, Pakistan.

3. Muhammad Hammad Tahir: Department of Neurology and Neurosurgical, The Aga Khan University, Karachi, Pakistan.

4. Salman bin Ayub: Department of Surgery, Baqai Medical University, Karachi, Pakistan.

5. Ghulam Murtaza Memon: Department of surgery, Civil Hospital, Karachi, Pakistan.

6. Adnan Yousuf: Department of Surgery, Civil Hospital, Karachi, Pakistan.

7. Arif Hussain: Department of Surgery, Civil Hospital, Karachi, Pakistan.

8. Osmani: Department of Surgery, Civil Hospital, Karachi, Pakistan.

9. Abdul Karim Siddiqui: Department of Surgery, Baqai Medical University, Karachi, Pakistan.

Abstract:

Parotidectomy is a common procedure usually done for a parotid mass necessitating a histological diagnosis. Operation is normally performed under General anesthesia with a nerve stimulator to facilitate facial nerve stimulation. We describe a new technique with reports of three cases, making total parotidectomy under local anesthesia possible. The ascending cervical branch of cervical plexus and the auriculotemporal nerve were anesthetized by bupivacaine 0.25% (2mg/kg) and lignocaine with adrenaline 7mg/kg. Effective onset of anesthesia was within 15-25 minutes and the operations lasted between 2-3 hours without any complications. This offers advantage in high-risk patients where general anesthesia is contraindicated. The facial nerve can be easily identified with on command movements by the patient rendering the use of nerve stimulator or injection of the dye superfluous. This technique makes total parotidectomy an outpatient procedure and facilitates an early discharge.

Page(s): 116-117

DOI: DOI not available

Published: Journal: Journal of College of Physicians and Surgeons--Pakistan : JCPSP, Volume: 17, Issue: 2, Year: 2007

Keywords:

Total parotidectomy Local anesthesia

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