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General Surgery · Salivary glands: parotidectomy anatomy
Sample itemDuring superficial parotidectomy, which structure divides the parotid into superficial and deep parts?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Facial nerve and its branches
The facial nerve enters the gland and branches within it, forming a plane that surgically separates the superficial and deep lobes. The tragal pointer and the posterior belly of digastric are landmarks for identifying the main trunk. Nerve monitoring helps preservation.
Option by option
A. Facial nerve and its branches (correct)
Correct. The facial nerve defines the surgical plane.
B. Retromandibular vein only
The retromandibular vein lies deep to the nerve but does not define the plane.
C. Masseter muscle
The masseter is a relation, not a divider.
D. External carotid artery
The external carotid artery lies deep in the gland.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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