Vital Role of an Anaesthesiologist in Rendering Safe Anaesthesia in a Case of Parotid Tumor Resection with Obesity: A Case Report
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Abstract
Parotid pleomorphic adenomas are benign salivary gland tumors, which predominantly affect the superficial lobe of the parotid gland. The “pleomorphic” nature of the tumor can be explained on the basis of its epithelial and connective tissue origin. Slowly progressing asymptomatic swelling is the usual presentation of the tumor. Surgical excision of the tumor mass forms the mainstay of treatment, with utmost care taken to preserve the facial nerve. We describe here, a case of an obese male patient who was posted for parotid tumor resection under general anesthesia supplemented with superficial cervical plexus block whilst monitoring both muscle relaxation and nerve integrity.
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[4] Bensghir M, Elkoundi A, Ahtil R, Meziane M, Haimeur C. Use of sugammadex in parotid surgery: a case report. J Med Case Rep. 2016; 10(1):187.
[5] Gaillard C, Périé S, Susini B, St Guily JL. Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope. 2005; 115(2):287–91.
[6] Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Ménard M, Brasnu D. Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with229patients. Laryngoscope.1994; 104(12):1487–94.
[7] Terrell JE, Kileny PR, Yian C, Esclamado RM, Bradford CR, Pillsbury MS, et al. Clinical outcome of continuous facial nerve monitoring during primary parotidectomy. Arch Otolaryngol Head Neck Surg. 1997; 157:1081–7
[8] Bamgbade OA, Rutter TW, Nafiu OO, Dorje P. Postoperative Complications in Obese and Nonobese Patients. World J Surg. 2007; 31(3):556–60.
[9] Al-Mulhim AS, Al-Hussaini HA, Al-Jalal BA, Al-Moagal RO, Al-Najjar SA. Obesity Disease and Surgery. Int J Chronic Dis. 2014; 2014:652341.
[10] Arain SR, Barth CD, Shankar H, Ebert TJ. Choice of volatile anesthetic for the morbidly obese patient: sevoflurane or desflurane. J Clin Anesth. 2005; 17(6):413-9.
[2] Gunn A, Parrott NR. Parotid tumors: a review of parotid tumor surgery in the Northern Regional Health Authority of the United Kingdom 1978–1982. Br J Surg. 1988; 75:1144-6.
[3] Shahid K, Siddiqui BK, Tahir MH, Salman bin Ayub, Memon GM, Yousuf A, et al. Total parotidectomy under local anesthesia: a novel technique. J Coll Physicians Surg Pak. 2007; 17(2):116-7.
[4] Bensghir M, Elkoundi A, Ahtil R, Meziane M, Haimeur C. Use of sugammadex in parotid surgery: a case report. J Med Case Rep. 2016; 10(1):187.
[5] Gaillard C, Périé S, Susini B, St Guily JL. Facial nerve dysfunction after parotidectomy: the role of local factors. Laryngoscope. 2005; 115(2):287–91.
[6] Laccourreye H, Laccourreye O, Cauchois R, Jouffre V, Ménard M, Brasnu D. Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with229patients. Laryngoscope.1994; 104(12):1487–94.
[7] Terrell JE, Kileny PR, Yian C, Esclamado RM, Bradford CR, Pillsbury MS, et al. Clinical outcome of continuous facial nerve monitoring during primary parotidectomy. Arch Otolaryngol Head Neck Surg. 1997; 157:1081–7
[8] Bamgbade OA, Rutter TW, Nafiu OO, Dorje P. Postoperative Complications in Obese and Nonobese Patients. World J Surg. 2007; 31(3):556–60.
[9] Al-Mulhim AS, Al-Hussaini HA, Al-Jalal BA, Al-Moagal RO, Al-Najjar SA. Obesity Disease and Surgery. Int J Chronic Dis. 2014; 2014:652341.
[10] Arain SR, Barth CD, Shankar H, Ebert TJ. Choice of volatile anesthetic for the morbidly obese patient: sevoflurane or desflurane. J Clin Anesth. 2005; 17(6):413-9.
| Files | ||
| Issue | Vol 9 No Supp. 2 (2023): Supplement 2 |
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| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i6.14456 | |
| Keywords | ||
| Parotid gland Peripheral Nerve Stimulator (PNS) Superficial cervical plexus block train of four | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Deshpande J, Jacob M, Jadhav V. Vital Role of an Anaesthesiologist in Rendering Safe Anaesthesia in a Case of Parotid Tumor Resection with Obesity: A Case Report. Arch Anesth & Crit Care. 2023;9(Supp. 2):556-558.
