of Temporal Bone : and grafted. The zygoma and ascending ramus of mandibular are transected and removed. The posterior infratemporal space is inspected. Total parotidectomy, facial nerve transection, and radical neck dissection are performed. The facial nerve distal stump is tagged for future anastomosis procedures. Subtemporal craniotomy is performed to isolate the internal auditory canal. It is accessed and CN VII and CN VIII

doi:10.1201/b21609-67

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ABSTRACT

Hemorrhage major vessels are at risk of intra-operative injury. Some authors recommend reserving 6 units of autologous whole blood prior to the surgery. Intra-operative bleeding can be reduced by hypotensive anesthesia. Acute intracranial hemorrhage is one of the most feared complications. Rapidly progressing intracranial pressure may lead to significant brain injury and possible demise in a relatively short period of time. Patients' neurologic status must be monitored closely after surgery, and, if any suspicion arises, CT scan without contrast must be obtained immediately.