Facial Nerve Surgery

Facial Nerve Surgery/Procedures

Facial Nerve Surgery Patient 11


This patient was referred to Dr. Bhama for an enlarging right parotid (salivary gland) mass that had previously been infected and required inpatient treatment with IV antibiotics. On the CT scan, notice the large mass of the right parotid gland. Dr. Bhama performed parotidectomy and facial nerve dissection. The mass was found to be extending through the platysma muscle in the neck into the subcutaneous fat and was densely adherent to the facial nerve (the nerve that controls facial movement). Removal resulted in a large cavity of the face, and Dr. Bhama performed reconstruction of the defect using a SMAS (superficial musculoaponeurotic system) flap. Early post-operative pictures are shown demonstrating completely normal facial movement, and an excellent facial contour. The scar will continue to improve with time. The patient was very happy with results.


Facial Nerve Surgery Patient 12


This patient was referred to Dr. Bhama for a chief complaint of a neck mass. Dr. Bhama ordered testing which demonstrated a cancer of the parotid gland. On pre-operative photos, notice the large lump on the left side of the neck just below the jawline. Dr. Bhama discussed options with the patient, and she elected for parotidectomy with facial nerve dissection and neck dissection. Dr. Bhama performed total parotidectomy with facial nerve dissection and reconstruction of the defect using a SMAS flap. Dr. Shikary concurrently performed neck dissection. Post-operative photos are shown demonstrating completely normal facial nerve function and a normal appearing facial contour. She was very happy with results of surgery.


Facial Nerve Surgery Patient 13

Facial Nerve Surgery Patient

This patient developed right sided facial paralysis from a stroke. He was referred to Dr. Bhama by a neurosurgeon for management. On pre-operative photos, notice the severe right sided brow ptosis. Options were discussed and the patient elected for power brow lift. Dr. Bhama performed surgery which went well. One year post-operative photos are shown demonstrating a sustained elevation of the brow. He was very happy with the results and is planning for further reanimation surgery.


Facial Nerve Surgery Patient 14


This patient presented to Dr. Bhama with a chief complaint of a mass located along the facial nerve on the left cheek and requested removal. On pre-operative photos, notice the large mass of the left cheek. On imaging studies, the mass appeared adherent to the skin, and therefore skin over the mass was elected to be removed. A facial nerve dissection was performed to preserve the facial nerve during surgery. Surgery went well and early post-operative photos are shown. The appearance of the scar will improve with time. The patient was very happy with results and her facial function was completely normal after surgery.


Photo Disclaimer: Before & After photographs shown on this site are actual patients who have given permission to have their photos published. They are for illustrative purposes only. Individual results vary. Reputable surgeons do not guarantee outcomes and no prediction of outcome is implied. Individual healing characteristics and unexpected complications can affect the outcome of any surgery.

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