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Clinical Trial Summary

usefulness of the methylene blue staining for identification of facial nerve in parotid gland surgery


Clinical Trial Description

The specific surgical morbidity remains significant in parotid gland surgery. In addition to temporary facial weakness and permanent facial nerve injury, postparotidectomy depression and Frey's syndrome (gustatory sweating) are specific for this type of surgery. To reduce the surgical morbidity, several modifications of parotidectomy have been implemented but postsurgical complications remain especially facial nerve injury . To overcome this difficulty, an identification method might be used such as preoperative intravital staining of the gland with methylene blue (MB). Although MB staining is not designed to be used as a sole technique, it can be combined with other techniques such as identification of the anatomic landmarks. MB staining is simple, inexpensive, and not time consuming technique.It is an indirect facial nerve identification technique, because there is no nerve handling,thus decreasing iatrogenic nerve impairment.After injection of the parotid gland with MB dye, fine white nerve fibers can be observed . Tumors in the parotid gland are also easily seen because they are not stained and will be visible in the surgical field. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05401370
Study type Interventional
Source Assiut University
Contact Ismail Ali Mohamed
Phone 01124153353
Email ismailali203040@gmail.com
Status Not yet recruiting
Phase N/A
Start date June 2022
Completion date December 2023

See also
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Recruiting NCT03950323 - Intra-parotid Facial Nerve Tractography N/A
Completed NCT01414790 - The Use of Human Acellular Dermal Matrix to Improve Infraauricular Depressed Deformities and Frey's Syndrome Phase 3
Recruiting NCT04613349 - FArial NErf MRI in the Preoperative Assessment of PArotide Tumors
Completed NCT04803032 - Trident Landmark as a Safe and Easy Method for Facial Nerve Trunk Identification During Superficial Parotidectomy N/A