A New Approach to Lesion Limited to the Tail of Parotid - Abstract
Introduction: Parotid tumors along the tail are usually benign and present as a slow-growing lump. Surgery plays a vital role in the management of any
parotid neoplasm, which primarily involves the removal of lesions with an adequate negative margin and the preservation of facial cosmesis. Being said that,
for lesions limited to the tail of the parotid, traditional surgeries, including superficial parotidectomy or adequate parotidectomy, appear to be overkill as
it carries higher morbidity and newly introduced extracapsular dissection would require nerve monitoring and might not be found adequate when the result
suggests malignancy and it is not widely practised.
Objective: To introduce a new technique for lesions involving the tail of parotid, which would minimise functional and cosmetic morbidities.
Methods: Here, a new technique done in two patients with lesions limited to the tail of the parotid is explained.
Results: Two patients underwent surgery using the above-mentioned technique for lesions limited to the tail of the parotid. Adequate clearance of the
lesion limited to the tail of parotid could be obtained without the morbidities associated with traditional procedures.
Conclusion: This approach could be considered as the first choice for complete resection of lesion limited to the tail of parotid. This surgery avoids the
major morbidity of traditional surgery with a complete excision of the tumour limited to the tail of the parotid with an excellent tumour margin. The dissection
is simple and has multiple advantages.