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Total Parotidectomy Under Local Anesthesia Two Points of Lidocaine Injection: Incision Line and Subperichondrial Tragal Cartilage

Objective: We aimed to share our experience of total parotidectomy surgery on two cases with coronary artery disease and cardiac arrhythmia who developed ventricular tachycardia.

Method: 3 mg midazolam and 15 mg pentazocine was applied to the patient within 1000 cc lactated Ringer’s solution. Minimal local anesthetic (2 cc) was applied onto the skin incision line. Minimal jetocaine injection (1 cc) was performed subperichondrial ontotragal cartilage for the exposure of the tragal pointer.

Results: Facial nerve branches were freed from the mass and the parotis tissue, then the mass was resected totally together with the parotis gland. Following bleeding control, drainage was applied and the operation was completed without any complications. The drainage tube was removed two days later and the patients were discharged from the hospital.

Conclusion: Although the majority of the cases reported in literature body were superficial parotidectomy surgery, our study is the second example of a total parotidectomy case.

Author(s): Ferit Akil, Umur Yollu, Fatih Turgut, Muhammed Ayral, Mensur Hasan Ekinci, Erhan Gokcek and Ayhan Kaydu