%0 Journal Article
%T Styloid Process Is the Robust Landmark for Identification of the Facial Nerve during Parotid Surgery
%A Ashraful Islam
%A Mashiur Rahman
%A Tareq Mohammad
%A Milon Kazi
%A Nazmul Hossain Choudhury
%A ASM Lutfur Rahman
%A Farid Uddin Milki
%J International Journal of Otolaryngology and Head & Neck Surgery
%P 164-174
%@ 2168-5460
%D 2022
%I Scientific Research Publishing
%R 10.4236/ijohns.2022.114018
%X <b><span style=\"font-family:&quot;\">Objective</span></b><b><span style=\"font-family:&quot;\">:</span></b><b><span style=\"font-family:&quot;\"> </span></b><span style=\"font-family:&quot;\">To identify the facial nerve trunk (FNT) very
easily. quickly and accurately considering the styloid process as the robust
anatomically consistent landmark</span><span style=\"font-family:&quot;\"> </span><span style=\"font-family:&quot;\">during
parotid surgery. <b>Patients and Methods</b></span><b><span style=\"font-family:&quot;\">: </span></b><span style=\"font-family:&quot;\">This prospective study was conducted between January
2010 to December 2022 at </span><span style=\"font-family:&quot;\">a<span style=\"color:red;\"> </span></span><span style=\"font-family:&quot;\">Tertiary care hospital. It included 130 patients: 84
(65%) males and 46 (35%) females with a mean age of 43.52 ¡À 15.63 years.
Patients presented with pleomorphic adenoma (90), chronic sialectasis (05),
parotid cyst (03), parotid sinus (01), mucoepidermoid carcinoma (28)</span><span style=\"font-family:&quot;\">,</span><span style=\"font-family:&quot;\"> adenoid cystic carcinoma (02) and squamous cell carcinoma (01) were subjected
to superficial parotidectomy and total parotidectomy. </span><span style=\"font-family:&quot;\">The </span><span style=\"font-family:&quot;\">outcome was evaluated regarding </span><span style=\"font-family:&quot;\">the </span><span style=\"font-family:&quot;\">clinical success of facial nerve function that considered the location of
the styloid process in the triangle technique for identification of the FNT
during parotid surgery. <b>Results</b></span><b><span style=\"font-family:&quot;\">: </span></b><span style=\"font-family:&quot;\">All 130 patients underwent superficial and total
parotidectomy. </span><span style=\"font-family:&quot;\">The </span><span style=\"font-family:&quot;\">facial nerve trunk was successfully identified </span><span style=\"font-family:&quot;\">as</span><span style=\"font-family:&quot;\"> the
location of the styloid process in the triangle technique in all the patients
with no intra-operative complications. Operative time ranged from 50 to 180
minutes with a mean time 90.70 ¡À 15.68 minutes. Dysfunction of the angle of the
mouth due to </span><span style=\"font-family:&quot;\">the </span><span style=\"font-family:&quot;\">deficit of the marginal mandibular nerve (MMN) was noted in 5 patient</span><span style=\"font-family:&quot;\">s</span><span style=\"font-family:&quot;\"> (3.8%), 02 had difficulty in eye closure (1.5%). No patient
%K Facial Nerve Trunk
%K Identification
%K Styloid Process
%K Parotid Surgery
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=118518