Parotidectomy under local anesthesia--report of 7 cases.

Objective: Parotidectomy is usually carried out under general anesthesia. We reported our early experience of performing parotidectomy under local anesthesia. Study design: Case series reviewed. Setting: Head and neck services of a regional hospital. Patients, intervention, and results: Seven patients underwent parotidectomy under local anesthesia. The indications were high risk for general anesthesia due to co-morbidity in 2 patients and personal preference for the rest. The operations were performed by retrograde facial nerve dissection after superficial cervical plexus block and incision wound infiltration with local anesthetics. There was no conversion to general anesthesia. Six operations were carried out in the setting of ambulatory procedure and were discharged on the same day. Transient mild facial paresis occurred in 2 patients. Conclusion: Parotidectomy under local anesthesia can be conducted successfully and avoid the adverse effect of general anesthesia. (C) 2013 Elsevier Inc. All rights reserved.