Berini-Aytes L, Gay-Escoda C
Department of Oral and Maxillofacial Surgery, School of Dentistry, University of Barcelona, Spain.
J Craniomaxillofac Surg. 1992 Jul;20(5):216-9. doi: 10.1016/s1010-5182(05)80318-x.
Postoperative complications in 206 submandibular gland excisions, excluding those resulting from benign or malignant tumours, carried out during a 15-year period were reviewed. Most patients (62%) had sialolithiasis. Coexistence of sialolithiasis and nephrolithiasis was documented in 5.5% of cases. Early postoperative complications (particularly infection) developed in 14.6% of the cases, whereas late complications appeared in 25.3% of the cases (residual inflammation in Wharton's duct 7.3%). Neurological complications were observed in 16% of the cases. In 7 cases (3.4%) several nerves were involved and almost always the hypoglossal nerve. In 37.4% of the cases, these lesions resolved spontaneously in a mean period of 4 months. In those cases with a permanent neurological deficit, the facial nerve was the most often affected (7.7%) followed by the hypoglossal (2.9%) and the lingual nerve (1.4%). A single case of gustatory sweating (Frey's) syndrome was observed.
回顾了15年间进行的206例排除因良性或恶性肿瘤导致的下颌下腺切除术的术后并发症。大多数患者（62%）患有涎石病。5.5%的病例记录了涎石病与肾结石并存。14.6%的病例出现早期术后并发症（尤其是感染），而25.3%的病例出现晚期并发症（沃顿管残留炎症占7.3%）。16%的病例观察到神经并发症。7例（3.4%）涉及多条神经，几乎均为舌下神经。37.4%的病例中，这些病变平均在4个月内自发缓解。在那些有永久性神经功能缺损的病例中，面神经最常受累（7.7%），其次是舌下神经（2.9%）和舌神经（1.4%）。观察到1例味觉性出汗（弗雷氏）综合征。
