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Comprehensive Management of Parotid Disorders, An Issue of Otolaryngologic Clinics of North America, E-Book

Comprehensive Management of Parotid Disorders, An Issue of Otolaryngologic Clinics of North America, E-Book

Babak Larian | Babak Azizzadeh

(2016)

Additional Information

Abstract

This issue of Otolaryngologic Clinics of North America, devoted to Parotid Disease, is guest edited by Drs. Babak Azizzadeh and Babak Larian. Articles in this outstanding issue include: Parotid Gland and Facial Nerve Anatomy; Parotid Gland Imaging; Evaluation of Parotid Lesions; Benign Parotid Tumors and Management; Diagnosis and Management of Malignant Salivary Gland Tumors of the Parotid Gland; Parotitis and Sialoendoscopy of the Parotid Gland; Parotidectomy for Benign Parotid Tumors; Parotidectomy for Parotid Cancer; Parotid Tumors and the Facial Nerve; Loco-Regional Parotid Reconstruction; Free Tissue Transfer in Parotid Reconstruction; Facial Paralysis Reconstruction; Periocular Reconstruction in Patients with Facial Paralysis; Rare Parotid Diseases; and Management of Frey's Syndrome.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Comprehensive Management of Parotid Disorders\r i
Copyright\r ii
CME Accreditation Page iii
PROGRAM OBJECTIVE iii
LEARNING OBJECTIVES iii
ACCREDITATION iii
DISCLOSURE OF CONFLICTS OF INTEREST iii
UNAPPROVED/OFF-LABEL USE DISCLOSURE iii
TO ENROLL iii
METHOD OF PARTICIPATION iv
CME INQUIRIES/SPECIAL NEEDS iv
Contributors v
EDITORS v
AUTHORS v
Contents ix
Preface: Comprehensive Management of Parotid Disorders\r ix
Facial Nerve and Parotid Gland Anatomy\r ix
Parotid Gland Imaging\r ix
Evaluation of Parotid Lesions\r ix
Benign Parotid Tumors\r ix
Diagnosis and Management of Malignant Salivary Gland Tumors of the Parotid Gland\r x
Parotitis and Sialendoscopy of the Parotid Gland\r x
Parotidectomy for Benign Parotid Tumors\r x
Parotidectomy for Parotid Cancer\r x
Parotid Gland Tumors and the Facial Nerve\r xi
Locoregional Parotid Reconstruction\r xi
Microvascular Reconstruction of the Parotidectomy Defect\r xi
Facial Paralysis Reconstruction\r xi
Periocular Reconstruction in Patients with Facial Paralysis\r xii
Rare Parotid Gland Diseases\r xii
Auriculotemporal Syndrome (Frey Syndrome)\r xii
OTOLARYNGOLOGIC CLINICS\rOF NORTH AMERICA\r xiii
FORTHCOMING ISSUES xiii
June 2016 xiii
August 2016 xiii
October 2016 xiii
RECENT ISSUES xiii
February 2016 xiii
December 2015 xiii
October 2015 xiii
Preface:Comprehensive Management of Parotid Disorders\r xv
Facial Nerve and Parotid Gland Anatomy 273
Key points 273
INTRODUCTION 273
THE PAROTID GLAND 274
Anatomy 274
Ductal Organization 275
Vascular Supply and Lymphatic Drainage 276
Autonomic Innervation 277
Functional Anatomy and Physiology 278
THE FACIAL NERVE 279
Intratemporal Anatomy 279
Extratemporal Anatomy 282
SUMMARY 282
REFERENCES 283
Parotid Gland Imaging 285
Key points 285
INTRODUCTION 285
IMAGING MODALITIES 285
Conventional Radiographs 285
Sialography 285
MR Sialography 286
Ultrasound 286
Conventional Angiography 286
Computed Tomographic Imaging of the Parotid Gland 287
MRI of the Parotid Gland 288
BIOLOGIC IMAGING OF PAROTID SPACE TUMORS 290
Radionuclide Imaging 290
PET Imaging 290
Proton MR Spectroscopy 291
Computed Tomography Perfusion 291
Perfusion-Weighted MRI 291
Diffusion-Weighted MRI 291
PICTORIAL ESSAY OF PAROTID SPACE LESIONS 292
Lipoma 292
Intraparotid Lymph Nodes 293
Branchial Cleft Cyst (Types I and II) 294
Parotitis 294
Sarcoidosis 294
Sialadenitis 294
Lymphoepithelial Cysts 295
Congenital Capillary Hemangiomas 296
Pleomorphic Adenoma 298
Warthin’s Tumor 300
Mucoepidermoid Tumor 301
Adenoid Cystic Carcinoma 301
Lymphoma 301
Metastatic Disease 302
Miscellaneous Disease 304
Parapharyngeal Space Lesions 305
IMAGE-GUIDED INTERVENTION 305
Percutaneous Ultrasound Interventions 306
Percutaneous Computed Tomography-Guided Interventions 307
SUMMARY 309
REFERENCES 309
Evaluation of Parotid Lesions 313
Key points 313
INTRODUCTION 313
HISTORY 314
PHYSICAL EXAMINATION 314
IMAGING STUDIES 317
MRI 317
Computed Tomography 317
Ultrasonography 319
PET 319
LABORATORY STUDIES 320
PATHOLOGY 321
Fine-Needle Aspiration Biopsy 321
Core Needle Biopsy 321
Tumor Seeding? 322
Incisional Biopsy and Frozen Section Analysis 323
SUMMARY 323
REFERENCES 323
Benign Parotid Tumors 327
Key points 327
EPIDEMIOLOGY 327
EMBRYOLOGY AND HISTOGENESIS 328
CAUSE AND RISK FACTORS 329
CLINICAL ANATOMY FOR BENIGN NEOPLASMS 331
CLINICAL PRESENTATION 331
DIAGNOSTIC WORK-UP 332
BENIGN PAROTID NEOPLASMS 333
Pleomorphic Adenoma (Benign Mixed Tumor) 333
MONOMORPHIC ADENOMA 336
Warthin Tumor (Papillary Cystadenoma Lymphomatosum, Adenolymphoma) 336
Oncocytoma (Oxyphilic Adenoma, Oncocytic Adenoma) 337
Basal Cell Adenoma 337
Myoepithelioma (Myoepithelial Adenoma, Benign Myoepithelial Tumor) 338
Hemangioma (Cellular Hemangioma, Immature Capillary Hemangioma, Juvenile Hemangioma, Congenital Hemangioma) 338
MANAGEMENT 339
REFERENCES 339
Diagnosis and Management of Malignant Salivary Gland Tumors of the Parotid Gland 343
Key points 343
INTRODUCTION 343
CAUSES 344
HISTOLOGY AND IMMUNOHISTOCHEMISTRY 344
TRANSLOCATIONS AND FUSION GENES 344
CLASSIFICATION OF MALIGNANT PAROTID TUMORS 344
MUCOEPIDERMOID CARCINOMA 345
ADENOID CYSTIC CARCINOMA 352
ACINIC CELL CARCINOMA 355
MAMMARY ANALOGUE SECRETORY CARCINOMA 358
SALIVARY DUCTAL CARCINOMA 358
CARCINOMA EX PLEOMORPHIC ADENOMA (MALIGNANT MIXED TUMOR) 361
ADENOCARCINOMA NOT OTHERWISE SPECIFIED 363
PRESENTATION AND WORK-UP OF A PAROTID MASS 363
SURGICAL MANAGEMENT 364
RECONSTRUCTIVE CONSIDERATIONS 366
COMPLICATIONS 367
Sialocele 367
Facial Nerve Palsy 367
Frey Syndrome 367
First Bite Syndrome 368
RADIATION THERAPY 368
CHEMOTHERAPY 369
MOLECULAR TARGETED THERAPIES 370
PROGNOSIS 371
PEDIATRIC PATIENTS 372
SURVEILLANCE 373
SUMMARY 373
REFERENCES 374
Parotitis and Sialendoscopy of the Parotid Gland 381
Key points 381
INTRODUCTION 381
RELEVANT ANATOMY AND PHYSIOLOGY 382
ACUTE SUPPURATIVE PAROTITIS 383
CHRONIC PAROTITIS 384
Sialolithiasis 384
Salivary Duct Strictures 385
Juvenile Recurrent Parotitis 386
Sjögren Syndrome 388
Radioactive Iodine–Induced Sialadenitis 389
BASIC OPERATIVE TECHNIQUES IN SIALENDOSCOPY 389
SUPPLEMENTARY DATA 392
REFERENCES 392
Parotidectomy for Benign Parotid Tumors 395
Key points 395
INTRODUCTION 395
CONSIDERATIONS IN PAROTID TUMORS 396
Facial Nerve Anatomy and Dysfunction 396
Histology 397
Recurrent (or residual) pleomorphic adenomas 398
Extracapsular Dissection Versus Superficial Parotidectomy 399
Types of Incisions for Superficial Parotid Tumors 400
Types of Incisions for Deep Lobe Parotid Tumors 401
DISCUSSION 403
REFERENCES 410
Parotidectomy for Parotid Cancer 415
Key points 415
INTRODUCTION 415
PREOPERATIVE EVALUATION 416
History and Physical Examination 416
Tissue Diagnosis 416
Imaging in Parotid Gland Malignancy 417
EXTENT OF SURGERY FOR PAROTID MALIGNANCY 418
Extent of Surgery for Accessory Parotid Gland Carcinoma 420
INTRAOPERATIVE CONSIDERATIONS 420
FACIAL NERVE MANAGEMENT 421
SUMMARY 422
REFERENCES 422
Parotid Gland Tumors and the Facial Nerve 425
Key points 425
INTRODUCTION 425
FACIAL NERVE 426
PREOPERATIVE IMAGING OF PAROTID MASSES 428
NONNEOPLASTIC PAROTID TUMORS AND THE FACIAL NERVE 429
BENIGN PAROTID TUMORS AND THE FACIAL NERVE 429
MALIGNANT PAROTID TUMORS AND THE FACIAL NERVE 431
NERVE SHEATH TUMORS OF THE PAROTID GLAND 431
METASTASIS TO THE PAROTID GLAND 432
DISCUSSION 432
SUMMARY 433
REFERENCES 433
Locoregional Parotid Reconstruction 435
Key points 435
INTRODUCTION 435
SURGICAL MANAGEMENT 436
Preoperative Planning 436
Reconstruction 436
Acellular dermis 436
Sternocleidomastoid muscle flap 437
Superficial muscular aponeurotic system flap 439
Temporoparietal fascia flap 439
Fat grafting 440
Cervicofacial advancement flaps 440
POST–RADICAL PAROTIDECTOMY RECONSTRUCTION 442
Supraclavicular Artery Island Flap 442
Free tissue transfer 443
SUMMARY 443
REFERENCES 443
Microvascular Reconstruction of the Parotidectomy Defect 447
Key points 447
PRIMARY VOLUME RESTORATION 449
Management of the Radical Parotidectomy Defect 451
Reanimation Technique 453
Reinnervation Technique 454
SECONDARY VOLUME RESTORATION 454
SUMMARY 455
REFERENCES 455
Facial Paralysis Reconstruction 459
Key points 459
INTRODUCTION 459
SURGICAL MANAGEMENT 460
Lower Face and Midface 460
Static reconstruction 460
Dynamic reanimation 461
Volitional reanimation 461
Spontaneous reanimation 463
Upper Face 468
Management of the brow 468
Management of the eye 469
Upper eyelid 469
Lower eyelid 470
Postradical parotidectomy reconstruction 470
SUMMARY 471
REFERENCES 471
Periocular Reconstruction in Patients with Facial Paralysis 475
Key points 475
INTRODUCTION 475
EVALUATION 476
MANAGEMENT 476
Temporary Measures 477
Long-term Measures 480
Upper eyelid reconstruction 480
Upper eyelid loading 480
Upper eyelid müllerectomy 481
Upper eyelid blepharotomy 482
Lower eyelid reconstruction 482
Lateral canthal suspension 483
Medial canthal tendon plication 483
Lower eyelid retraction repair 483
Brow reconstruction 483
Management of periocular synkinesis 485
SUMMARY 485
REFERENCES 485
Rare Parotid Gland Diseases 489
Key points 489
CLINICAL PRESENTATION 489
SIALADENOSIS 489
Bacterial Sialadenitis 490
Viral Sialadenitis 491
Mumps 491
Human immunodeficiency virus 492
Other viral causes 493
Obstructive Sialadenitis 493
GRANULOMATOUS INFECTIONS OF THE PAROTID GLANDS 493
Tuberculosis of the Parotid Gland 493
Nontuberculous Mycobacterial Infections 494
Cat-Scratch Disease 494
Sarcoidosis 494
AUTOIMMUNE 494
Sjögren Syndrome 494
Immunoglobulin G4 Disease 495
RADIATION-INDUCED PAROTID GLAND DISEASE 496
External Beam Radiation 496
Radioactive Iodine 496
TRAUMA 497
Penetrating Trauma 497
Blunt Trauma 497
MISCELLANEOUS DISEASES OF THE PAROTID GLAND 497
Pneumoparotitis 497
Necrotizing Sialometaplasia 497
Juvenile Recurrent Parotitis 498
Kimura Disease 498
SUMMARY 499
REFERENCES 499
Auriculotemporal Syndrome (Frey Syndrome) 501
Key points 501
INTRODUCTION 501
SURGICAL METHODS FOR THE PREVENTION OF FREY SYNDROME 504
Increased Skin Flap Thickness 504
Transposition Muscle or Fascia Flaps 504
Temporoparietal fascia flap 504
Sternocleidomastoid muscle flap 505
Superficial musculoaponeurotic system flap 505
Biomaterial and Autologous Implantation 506
Acellular dermal matrix 506
Abdominal fat grafting 506
POSTSURGICAL TREATMENT OF FREY SYNDROME 506
Medical Management 506
Surgical Management 507
SUMMARY 507
REFERENCES 507
Index 511