Preoperative approach and technical considerations in parotid surgery.

Area of Science:

• Head and Neck Surgery
• Oncology
• Surgical Innovation

Background:

• Parotid neoplasms require diverse management strategies.
• A decade of clinical practice has seen refinement in surgical techniques.
• Head and neck oncologic surgery has evolved significantly.

Purpose of the Study:

• To describe the evolution of a surgeon's approach to parotid neoplasms.
• To highlight technical considerations in preoperative, operative, and postoperative care.
• To emphasize individualized treatment planning for parotid tumors.

Main Methods:

• Narrative review of a decade of clinical experience.
• Integration of diagnostic workup and treatment planning.
• Application of point-of-care ultrasound (US) for diagnostics and intraoperative guidance.
• Consideration of tumor characteristics and gland compartment for surgical strategy.

Main Results:

• Diagnostic workup and treatment planning aid in decision-making (surveillance vs. surgery, approach, extent).
• Point-of-care ultrasound (US) is crucial for tumor assessment, incision planning, and surveillance.
• Minimally invasive approaches are feasible with anatomical knowledge and US guidance.
• Gland compartment influences nerve dissection and reconstruction.

Conclusions:

• Modern head and neck surgeons can tailor individualized treatment plans for parotid neoplasms.
• Embracing diverse options in diagnostics and surgical approach optimizes patient care.
• Refined techniques and advanced tools like US enhance surgical precision and outcomes.