Shvero J, Koren I, Feinmesser R
Dept. of Otorhinolaryngology, Rabin Medical Center (Beilinson Campus), Petah Tikva.
Harefuah. 1998 Jul;135(1-2):9-11, 87.
Sensory loss in the operative area after superficial parotidectomy is one of the complications which disturbs the patient. The greater auricular nerve, which stems from the cervical plexus, supplies sensation to the area. Sacrifice of the nerve during superficial parotidectomy causes sensory loss in the area. We investigated the degree of sensory loss in the operative area after superficial parotidectomy in 10 patients in whom the posterior branch of the greater auricular nerve was preserved and compared the results with those in whom it was not, a year after operation. There was more sensory loss when the greater auricular nerve was sacrificed. We therefore suggest preserving the posterior branch of the greater auricular nerve during superficial parotidectomy if at all possible.
腮腺浅叶切除术后手术区域的感觉丧失是困扰患者的并发症之一。源于颈丛的耳大神经为该区域提供感觉。在腮腺浅叶切除术中牺牲该神经会导致该区域感觉丧失。我们调查了10例保留耳大神经后支的患者在腮腺浅叶切除术后手术区域的感觉丧失程度,并在术后一年将结果与未保留该神经的患者进行了比较。牺牲耳大神经时感觉丧失更严重。因此,我们建议在腮腺浅叶切除术中尽可能保留耳大神经后支。