0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Resident's Corner |

Emergency Parotidectomy for Penetrating Zone III Neck Trauma

Luc G. Morris, MD; Maurizio A. Miglietta, DO; Andrew G. Sikora, MD; Monica N. Okun, MD; J. Thomas Roland Jr, MD
Arch Surg. 2007;142(12):1206-1208. doi:10.1001/archsurg.142.12.1206.
Text Size: A A A
Published online

Penetrating trauma to the face and upper zone III of the neck may present unique challenges when the parotid gland and associated neurovascular structures are involved. We report a case of massive hemorrhage from penetrating neck trauma that necessitated emergency parotidectomy for vascular exposure. Facial nerve repair was also necessary, underscoring the importance of this approach not only for successful vascular control but also for preservation of nearby vital structures. The management of penetrating trauma to the parotid region,and relevant anatomy, are discussed.

Figures in this Article

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Place holder to copy figure label and caption
Figure 1.

Left parotid region after carotid exploratory surgery.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Nerve graft repair of transected upper division of the facial nerve.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 3.

Vascular anatomy of the left parotid region. Dotted line outlines the parotid gland. STV and STA indicate the superficial temporal vein and artery, respectively (portions intraparotid); EAC, external auditory canal; TFV and TFA, transverse facial vein and artery, respectively (intraparotid); CN7, facial nerve (travels within gland; incompletely illustrated); PD, parotid duct; RMV, retromandibular vein (portions intraparotid); IMAX, internal maxillary artery and vein (deep to mandible); PAV and PAA, posterior auricular vein and artery, respectively; FV and FA, facial vein and artery, respectively; EJV, external jugular vein; IJV, internal jugular vein; and ECA, external carotid artery.

Graphic Jump Location

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
brightcove.createExperiences();