Swelling of the parotid gland
Olga, hello! The size of the tumor is really quite large. The operation lasts exactly as long as necessary to accurately remove the tumor with the prevention of damage to the branches of the facial nerve and not a minute more. During the operation, we use to intraoperative optical enlargement, which allows us to significantly increase the efficiency of searching and preparing the branches of the facial nerve during the operation. At the same time, it should be noted that the theoretical possibility (rather the necessity) of damage to small branches still exists, which is connected, for example, with the fact that such a large tumor can sometimes simply not be obtained from under them, since to displace even a well-prepared and isolated small branch it is just impossible to distance a few centimeters to the side. This is why no single maxillofacial surgeon can absolutely guarantee its safety before surgery, when the features of the structure of the facial nerve and its relative position relative to the tumor are still unknown. especially in the presence of anatomical so-called "loose" type of branching of the facial nerve, in which he has not 3-4 large trunks, but many small branches). In addition, even with the displacement of the prepared branch, with the widening of the wound with surgical instruments (Farabef's spins), there can be simply a mechanical tension of the nerve tissue, which can cause not a permanent but a transient disturbance of the function of a particular branch. Of course, we will try to do everything to prevent this, but we simply have to inform you of the above variants of the course of the postoperative period or possible consequences. By the way, how many years this tumor grew and why you did not dare to remove it for so long. But you must remove it. I wait for more information from you. You can also contact me by phone (495) 464-01-54. respect, Professor VN Balin.
Sent by: 01/14/2010 - 11:06:17
Created by: 1
Reputation: - +
Hello, Viktor Nikolaevich. I am 28 years old. In 2003, I was re-operated on the salivary gland. The glands and lymph nodes were removed on the neck and under the lower jaw. Histology showed the cylinder of the salivary gland, only the lymph nodes themselves were clean. After 3 years in 2006, they were swollen in the hyoid fossa in the amount of 2 match boxes, with complete damage to adjacent tissues. The operation was done by removing the tumor, the facial nerve, soft tissues of the temporalis muscle, the jaw joint and a little bone of the lower jaw. she was amazed. In early 2009, I started to have constant severe pains, bleeds behind the back teeth (where I can not see full trismus, the mouth is completely closed.) Over the past year I lost 34 kg. During the examination, a tumor was found in the same place with extensive damage to the tissues, bones of the temporal region. Doctors (RCD of Krasnoyarsk) came to the conclusion that in my cases there is no way out of this situation and was sent home for antisymptomatic therapy.
Tell me what to do?
Sent by: 16.01.2010 - 14:40:02
Dear Yulia, hello! You turned to us for advice, unfortunately, quite untimely. It is difficult for me to give a qualified opinion in absentia, but I believe that the specialists of maxillofacial oncologists in the regional oncological dispensary have a sufficiently high qualification to really assess your condition. we will hope for an improvement in the condition under the influence of the treatment prescribed to you. I would also like to clarify that our clinic does not currently treat such diseases requiring combined treatment. God bless you. Sincerely, Professor VN Balin.
Sent by: 01/18/2010 - 9:57:39
Created by: 1
Reputation: - +
Hello. Thank you. The fact is that we do not have such a specialist, only an oncologist. Yes we have a big edge, but oncology in the departments of the OGS about other departments I can not say is standing still. Only ordinary cases (thyroid gland, throat, basiliomas and the like) operate on the rest as they send me home. "the state of the impact of the treatment prescribed to you." The prescribed treatment is TRAMODOL and TRAMAL. Does he heal? I know that this disease has not been fully studied, but maybe someone will want to study it. I agree to this even.
Sent by: 01/18/2010 - 11:00:00
Julia! In this case, you need to go to the oncology center closest to you, where there are oncologists maxillofacial surgeons. As a last resort, in Onkotsentr them. Blokhin in Moscow, where there is such a department. (Metro Kashirskaya) and, in addition, specialists in chemotherapy and radiotherapy of tumors of the maxillofacial region. Sincerely, Professor VN Balin.
Sent by: 01/18/2010 - 14:34:50
Hello! 6 months ago I discovered an education near the ear lobe. education does not increase and does not hurt. 3 times the puncture was taken because of the small number of materials it is not possible to identify the nature of the tumor. the presumptive diagnosis is a mixed tumor. The morphological conclusion: red blood cells prevail, among which single groups of small cells, sometimes forming papillary structures, are found.
ultrasound results:left parotid gland-21mm, homogeneous, ehogennost-norm, in cp / in / 3 it is determined gipoehogennoe obr-e 13.5 * 7.3 * 10mm with signs of central blood flow in CCC, the remaining salivary glands without structural changes.
1-Do you agree with a presumptive diagnosis?
2- Additional tests may be necessary, which ones?
3-Is surgery necessary?
4- whether it is possible to define or determine on the above-stated rez-am duration of operation and an opportunity of complications?
Thankful in advance for the answer.
Sent by: 01/20/2010 - 15:27:31
Anna, hello! The adenoma of the salivary gland is an indication for an operation with which it is better not to delay. Additional studies are not needed, but I do not rule out the need for repeated (specifying) ultrasound diagnostics if the quality of the image you have is not sufficient. The operation lasts exactly as long as necessary to remove the tumor and not a minute more. We perform these operations under anesthesia, and during the operation we use optics to more carefully dissect the branches of the facial nerve, if it is found during surgery that they are close to the tumor. We perform these operations on a regular basis (only after the New Year holidays - you are the sixth patient with such a disease in our clinic.) We are waiting for you for a full-time examination on working days from 10 am to 2 pm Take with you the data of tests and ultrasound diagnostics.
Sent by: 01/21/2010 - 10:54:22