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Parotidectomy Defect and Facial Nerve Reconstruction

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Principles of Lateral Craniofacial Reconstruction

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Abstract

Parotidectomy defect reconstruction requires an understanding of facial form and function. The main goals for the reconstructive surgeon include restoring facial contour and symmetry with stable tissue volumes, avoiding Frey’s syndrome, ensuring adequate skin coverage, and providing reconstruction of the facial nerve functional deficit. There are many reconstructive options available, and here we discuss strategies for addressing defects created by the superficial parotidectomy, total parotidectomy, and radical parotidectomy.

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Abbreviations

ADM:

Acellular dermal matrix

ALT:

Anterolateral thigh

RF:

Radial forearm

SAI:

Supraclavicular artery island

SIF:

Submental island flap

SMAS:

Superficial muscular aponeurotic system

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Authors and Affiliations

  1. Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USA

    Abel P. David

  2. Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, San Francisco, CA, USA

    P. Daniel Knott & Rahul Seth

Authors
  1. Abel P. David
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  2. P. Daniel Knott
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  3. Rahul Seth
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Correspondence to Rahul Seth .

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Editors and Affiliations

  1. Otolaryngology – Head and Neck Surgery, University of Arizona, Tucson, AZ, USA

    Steven J Wang

  2. Otolaryngology – Head and Neck Surgery, Schulich School of Medicine and Dentistry, London, ON, Canada

    Kevin Fung

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David, A.P., Knott, P.D., Seth, R. (2021). Parotidectomy Defect and Facial Nerve Reconstruction. In: Wang, S., Fung, K. (eds) Principles of Lateral Craniofacial Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-50291-1_8

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