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Superficial parotidectomy under local anaesthesia
P H Reece1, M E Papesch, N S Tolley
1Department of Otolaryngology and Head and Neck Surgery, St Mary's Hospital, London, UK.
The Journal of Laryngology and Otology
|February 15, 2001
Summary
Superficial parotidectomy for a parotid lump was successfully performed under local anesthesia. This case is unique, as no similar reports under local anesthesia alone exist since 1966.
Area of Science:
- Head and Neck Surgery
- Oncology
- Anesthesiology
Background:
- Parotid gland tumors are common salivary gland neoplasms.
- Surgical excision is the primary treatment for parotid gland tumors.
- General anesthesia is typically preferred for parotidectomy.
Observation:
- A patient with a parotid lump underwent aspiration cytology, revealing cells consistent with mucoepidermoid carcinoma or adenocarcinoma ex pleomorphic adenoma.
- The patient refused general anesthesia but consented to surgical removal of the parotid mass.
Findings:
- A superficial parotidectomy was successfully completed under local anesthesia.
- This represents a rare instance of parotid surgery performed exclusively under local anesthesia.
Implications:
- Local anesthesia may be a viable alternative for select parotidectomy cases.
- Further research is warranted to explore the safety and efficacy of local anesthesia for parotid surgery.
- This case highlights patient autonomy in anesthetic choices for head and neck procedures.