Specialities » Head and Neck Tumour Surgery » Facial Nerve Tumour » Facial Nerve Tumour Case 1

Case Study 1

Fig.1 Painless lump in parotid region with normal facial function. Coronal MRI shows tumour (green arrow) within the parotid gland. Thickened facial nerve (yellow arrow) seen at the level of stylomastoid foramen and fallopian canal.

Fig.2 Sagittal MRI shows tumour (green arrow) within the parotid gland. Thickened facial nerve (yellow arrow) seen at the level of stylomastoid foramen and fallopian canal.

Fig.3 Superficial parotidectomy is done in retrograde fashion exposing the peripheral branches of facial nerve (yellow arrowheads) and the tumour (yellow arrow). Green arrow points at the dissected superficial lobe.

Fig.4 Incision was extended behind the pinna and the mastoid is exposed. Picture shows mastoid tip, posterior belly of digastric muscle, tumour and the peripheral branches of facial nerve (yellow arrowheads).

Fig.5 Mastoid is drilled to decompress the vertical mastoid segment of facial nerve. Picture shows the thickened facial nerve (green arrows) at the level of stylomastoid foramen.

Fig.6 Facial nerve is divided at the fallopian canal proximal to the tumour. Picture shows the thickened facial nerve proximal to the tumour (green arrow), tumour and the peripheral brances distal to the tumour.

Fig.7 After complete excision of tumour. Green arrow points at the site of transection of mastoid segment of facial nerve.

Fig.8 Sural nerve was used as cable graft (yellow arrowheads) and anastamosed to facial nerve trunk (green arrow) and peripheral branches.

Fig.9 Ten days after surgery. Complete facial paralysis on left side.

Fig.10 Eleven months after surgery. Patient has regained facial movement with minimal weakness in forehead and eye.

The Heart Of Clinic

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

SENIOR CONSULTANT

+91 44 3315 1105

Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)

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The Heart Of Clinic

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

SENIOR CONSULTANT

+91 44 3315 1105

Dr. C. Rayappa graduated from Madras Medical College, Chennai, India in 1982. He completed his post graduation in Otolaryngology (ENT)

Mithun Das

03:35 18 Mar 23

Its a pleasure experience with Dr. Rayappa C. We came for my wife thyroid nodules operation and testing for cancer malignancy. Doctor taken care everything with my previous diagnosis report and suggest to surgery half of thyroid infected lob.After this operation we got biopsy report that indicate still cancer not affected.Thanks to doctor and wishes him all the very best.

Saima Hasin

07:07 13 Mar 23

A sincere and dedicated doctor. He treated my husband for Oral Cancer. He gave his best efforts to overcome the disease. With patience and sincerity he handled the post surgery stages. We are so thankful to him. Expressing our gratitude to Almighty Allah and of course to Dr.Rayappa for his recovery .

Reyad Alam

16:49 16 Feb 23

Just saying ‘Thank you’ will not justify what Dr. Rayappa sir has done for us.My mom was having difficulty in breathing for merely 2 years due to thyroid enlargement.So we consulted Dr.Rayappa and he asked us to do surgery as soon as possible. It was hard for us to take the decision since a lot of risks was involved but we went ahead with it.Post surgery - My mom feels so energetic and alive, which she never felt before. Can breathe better, can talk, and just recovered in 2 days. The surgery was a success and Dr. Rayappa and his team took great for us throughout. We can’t describe the joy and happiness we’re filled with to see my mother so healthy.We give our heartfelt gratitude to Dr.Rayappa sir and his team.Dr. Rayappa is a great Otolaryngologist and we highly recommend him.

Poojha Shri

15:49 06 Feb 23

This is Vanamadevi patient of Dr.Rayappa. Dr sir is a God in the form of human. Highly blessed to be treated by him.Gave us hope in a hopeless situation. Very good service by the whole team. Thank you.

Rajiya Sultana

08:47 06 Jan 23

I am very much satisfied in your treatment. Dr.Rayappa sir is a very kind hearted man and a great doctors ever seen in my life.May Allah bless him and his family.

Case Study 1

Case Study 1

The Heart Of Clinic

Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

+91 44 3315 1105

For Doctors

Need more information?

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Dr. C. Rayappa MBBS, DLO, FRCS(Edin)

+91 44 3315 1105

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