Mastoidectomy and Facial Nerve Decompression

  • Paul W. GidleyEmail author


Mastoidectomy is a key procedure for dealing with tumors that involve the parotid or periauricular skin. These tumors may involve the facial nerve either through perineural invasion or direct tumor extension. The goals and indications for mastoidectomy in this setting are explained. A stepwise approach for the procedure is described. Complications and adjuvant therapy are discussed.


Mastoidectomy Facial nerve Nerve decompression Parotid cancer Adenoid cystic carcinoma Squamous cell carcinoma Perineural invasion Recurrent parotid cancer Facial paralysis 


  1. 1.
    Gidley PW, Thompson CR, Roberts DB, Weber RS. The results of temporal bone surgery for advanced or recurrent tumors of the parotid gland. Laryngoscope. 2011;121(8):1702–7.CrossRefGoogle Scholar
  2. 2.
    Bron LP, Traynor SJ, McNeil EB, O’Brien CJ. Primary and metastatic cancer of the parotid: comparison of clinical behavior in 232 cases. Laryngoscope. 2003;113(6):1070–5.CrossRefGoogle Scholar
  3. 3.
    Gidley PW, Thompson CR, Roberts DB, DeMonte F, Hanna EY. The oncology of otology. Laryngoscope. 2012;122(2):393–400.PubMedGoogle Scholar
  4. 4.
    Garden AS, el-Naggar AK, Morrison WH, Callender DL, Ang KK, Peters LJ. Postoperative radiotherapy for malignant tumors of the parotid gland. Int J Radiat Oncol Biol Phys. 1997;37(1):79–85.CrossRefGoogle Scholar
  5. 5.
    Carlson ML, Patel NS, Modest MC, Moore EJ, Janus JR, Olsen KD. Occult temporal bone facial nerve involvement by parotid malignancies with perineural spread. Otolaryngol Head Neck Surg. 2015;153(3):385–91.CrossRefGoogle Scholar
  6. 6.
    House JW, Brackmann DE. Facial nerve grading system. Otolaryngol Head Neck Surg. 1985;93(2):146.CrossRefGoogle Scholar
  7. 7.
    Wax MK, Kaylie DM. Does a positive neural margin affect outcome in facial nerve grafting? Head Neck. 2007;29(6):546–9.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Head and Neck SurgeryThe University of Texas M.D. Anderson Cancer CenterHoustonUSA

Personalised recommendations