Parotidectomy

Chapter 23 of Volume 2, Head, Neck & Craniofacial. Revision notes and examiner-style viva questions with model answers for the FRCS (Plast).

22 viva questions in this chapter

1. This man has a lump in front of his ear. Take me through it.
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2. How do you get a diagnosis?
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3. How is this classified and staged?
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4. The cytology says pleomorphic adenoma. What operation do you do?
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5. A 74-year-old smoker with a 2 cm tail-of-parotid lump and cytology reporting Warthin tumour. He is asymptomatic.
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6. Talk me through how you find the facial nerve.
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7. When would you go retrograde?
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8. Do you use a nerve stimulator?
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9. What settings do you use?
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10. The stimulator stops working. What do you do?
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11. How do you consent this patient?
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12. The core biopsy shows a high-grade carcinoma. What operation?
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13. The neck is clinically and radiologically negative. Do you dissect it?
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14. When do you add radiotherapy?
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15. An 80-year-old with a parotid mass and multiple scalp scars from previous skin cancer excisions.
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16. Six months after superficial parotidectomy he sweats and flushes over the cheek when he eats.
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17. Can you prevent it?
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18. A different patient has severe cramping pain in the parotid region on the first mouthful of every meal.
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19. How do you deal with the contour defect?
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20. The facial nerve is infiltrated on imaging and a radical parotidectomy is planned, with adjuvant radiotherapy to follow. How would you reanimate?
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21. Would you use a lengthening temporalis myoplasty here?
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22. What do you do about the eye?
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