Objective:To identify the facial nerve trunk (FNT) very
easily. quickly and accurately considering the styloid process as the robust
anatomically consistent landmarkduring
parotid surgery. Patients and Methods: This prospective study was conducted between January
2010 to December 2022 at aTertiary care hospital. It included 130 patients: 84
(65%) males and 46 (35%) females with a mean age of 43.52 ± 15.63 years.
Patients presented with pleomorphic adenoma (90), chronic sialectasis (05),
parotid cyst (03), parotid sinus (01), mucoepidermoid carcinoma (28), adenoid cystic carcinoma (02) and squamous cell carcinoma (01) were subjected
to superficial parotidectomy and total parotidectomy. The outcome was evaluated regarding the 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. Results: All 130 patients underwent superficial and total
parotidectomy. The facial nerve trunk was successfully identified as 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 ± 15.68 minutes. Dysfunction of the angle of the
mouth due to the deficit of the marginal mandibular nerve (MMN) was noted in 5 patients (3.8%), 02 had difficulty in eye closure (1.5%). No patient
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