腮腺浅叶切除术：基于肿瘤特征的技术改良
Superficial parotidectomy: technical modifications based on tumour characteristics.
作者信息
Papadogeorgakis Nikolaos, Skouteris Chris A, Mylonas Anastassios I, Angelopoulos Angelos P
机构信息
Department of Oral and Maxillofacial Surgery, School of Dental Medicine, University of Athens, EVANGELISMOS General Hospital of Athens, Athens, Greece.
出版信息
J Craniomaxillofac Surg. 2004 Dec;32(6):350-3. doi: 10.1016/j.jcms.2004.05.004.
AIM
The purpose of this study was to evaluate the adequacy of partial superficial parotidectomy and tumour enucleation in the surgical management of patients with pleomorphic adenoma of the parotid.
MATERIAL AND METHODS
A total of 62 patients were treated for pleomorphic adenoma of the parotid during the years 1995-1999; 17 patients were treated with conventional superficial parotidectomy, whereas 42 patients were subjected to partial superficial parotidectomy. In three patients, tumour size and facial nerve proximity essentially resulted in enucleation of the parotid mass. In partial superficial parotidectomy, only the tumour-bearing area of the gland parenchyma was excised with identification of the main trunk and preservation of the facial nerve division that was adjacent to the tumour site with no need for more extensive facial nerve dissection.
RESULTS
There was no incidence of recurrence or facial nerve injury in our group of patients. The incidence of Frey's syndrome was 4.8%.
目的
本研究的目的是评估腮腺多形性腺瘤患者手术治疗中部分腮腺浅叶切除术和肿瘤剜除术的充分性。
材料与方法
1995年至1999年期间，共有62例患者接受了腮腺多形性腺瘤治疗；17例患者接受了传统腮腺浅叶切除术，而42例患者接受了部分腮腺浅叶切除术。3例患者由于肿瘤大小和与面神经的距离，最终进行了腮腺肿物剜除术。在部分腮腺浅叶切除术中，仅切除腺实质的肿瘤所在区域，同时识别面神经主干并保留与肿瘤部位相邻的面神经分支，无需进行更广泛的面神经解剖。
结果
我们的患者组中没有复发或面神经损伤的情况发生。味觉出汗综合征的发生率为4.8%。
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