이하선수술시 안면신경의 위치에 따른 신경 보존 술식의 개선방법

Rolling Method to Preserve Facial Nerve in Parotidectomy

Objectives ：In parotidectomy, facial nerve dissection technique had been evolved for its safety. Surgical landmarks are important and good guides to facial nerve detection. Conventional exposure and release of the nerve requires hemostat for elevation of parotid tissue from nerve and #11 blade for cutting the parotid away from the nerve. Material and Methods ：The rolling the parotid tissue over the nerve after dissecting with Met-zembaum scissors instead of knife, lessen pulling trauma and nerve cutting by knife. Eleven superficial paro-tidectomies since June 2009 were done with rolling technique and preliminary report is presented. Results ：Total 11 parotidectomies were done using proposed technique with tolerable complications(temporary facial dysfunction in 4 cases). Conclusion ：Rolling method using metzembaum scissors could be applied to parotid operation.