Prichard A J, Barton R P, Narula A A
Department of Otolaryngology/Head and Neck Surgery, Leicester Royal Infirmary, UK.
J R Coll Surg Edinb. 1992 Jun;37(3):155-8.
A total of 46 patients with benign parotid gland tumours have been operated upon between 1979 and 1989 in the Department of Otolaryngology at Leicester Royal Infirmary. Thirty-one were pleomorphic adenomas, six Warthin's tumours and nine miscellaneous tumours or tumour-like lesions. Extracapsular lumpectomy without facial nerve preparation was used in 31 cases (67%) and superficial parotidectomy in 15 cases (33%). One case of permanent partial facial palsy and one recurrence occurred in patients who underwent superficial parotidectomy. Frey's syndrome occurred in 40% of patients undergoing superficial parotidectomy. No permanent palsy, recurrence or Frey's syndrome occurred after extracapsular lumpectomy. These results suggest that extracapsular lumpectomy may reduce the morbidity rate in carefully selected patients.
1979年至1989年间，莱斯特皇家医院耳鼻喉科共对46例腮腺良性肿瘤患者进行了手术。其中31例为多形性腺瘤，6例为沃辛瘤，9例为其他肿瘤或肿瘤样病变。31例（67%）采用了不做面神经处理的囊外肿块切除术，15例（33%）采用了腮腺浅叶切除术。接受腮腺浅叶切除术的患者中有1例发生永久性部分面瘫，1例复发。接受腮腺浅叶切除术的患者中40%出现了味觉出汗综合征。囊外肿块切除术后未发生永久性面瘫、复发或味觉出汗综合征。这些结果表明，在精心挑选的患者中，囊外肿块切除术可能会降低发病率。
