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Two cardinal principles in surgery of parotid gland tumors are: first, the complete removal of the growth, and second, avoidance of injury to the seventh nerve. The risk of injury to the facial nerve acts as a deterrent to an adequate exposure in many operations for parotid tumors with the result that many growths are incompletely removed. The best method of avoiding such injury is the routine exposure and identification of the nerve first, before proceeding with the actual removal of the tumor. The nerve can be most safely and readily exposed proximally as it emerges from the stylomastoid foramen. The form of skin incision and the operative technique for parotid tumors with preservation of the seventh nerve is described.
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Received: September 27, 1951
© 1952 Published by Elsevier Inc.