Moody A B, Avery C M, Taylor J, Langdon J D
Maxillofacial Unit, King's College Hospital, London, UK.
Int J Oral Maxillofac Surg. 1999 Jun;28(3):211-5.
The demographic profile and complications are compared and contrasted for 150 consecutive parotidectomies. All patients were under the care of one surgeon (JDL) over a twenty-year period (1977-1997). The case records and contemporaneous database were analysed retrospectively. 111 (74%) procedures were performed for tumours and 39 (26%) for inflammatory disease. The incidence of unexpected permanent facial nerve palsy was 1.8% in the tumour group and zero in the inflammatory group. The overall unexpected palsy rate was 1.3%. Transient paralysis was more common in the inflammatory group than the tumour group (61.5% compared with 33.3%, P<0.02) and was more likely to be panfacial (48.7% compared with 17.1%, P<0.0002). The overall incidence of Frey's syndrome was less than 20% and both salivary fistulae and sialocoeles were infrequent.
对连续150例腮腺切除术患者的人口统计学特征和并发症进行了比较与对比。在20年期间（1977年至1997年），所有患者均由同一外科医生（JDL）负责治疗。对病例记录和同期数据库进行了回顾性分析。111例（74%）手术是针对肿瘤进行的，39例（26%）是针对炎症性疾病进行的。肿瘤组意外永久性面神经麻痹的发生率为1.8%，炎症组为零。总体意外麻痹率为1.3%。炎症组的短暂性麻痹比肿瘤组更常见（分别为61.5%和33.3%，P<0.02），且更可能是全面性的（分别为48.7%和17.1%，P<0.0002）。Frey综合征的总体发生率低于20%，涎瘘和涎囊肿均不常见。
