A case of the recurrent parotid tumor (epidermoid CA), being managed by total conservative parotidectomy. This amounts to removing both lobes of parotid gland while the facial nerve is preserved. We use glove slings to lift the nerve while dissecting the deep lobe out. This reduces the incidence of neuropraxia.
Modified Blair`s incision has been used, along with excision of the previous scar. Bipolar diathermy should be used to prevent any conduction damage to the facial nerve. We do not routinely use nerve stimulator. This video demonstrates "Re-Do Total Conservative Parotidectomy".
