Pons Rocher F, López Molla C, Ferrer Ramírez M J, Estelles Ferriol E, López Martínez R
Servicio de Otorrinolaringología, Hospital Universitario Dr. Peset, Valencia.
An Otorrinolaringol Ibero Am. 2004;31(5):413-22.
We review patients operated of parotidectomy in our ENT department of Dr. Peset Hospital from Valencia during the period 1975-2001. We shelted an amount of 145 cases. The pathologic distribution between benign and malign tumors was as following: 119 benign tumors (83%) and 26 malign tumors (17%). Here we study benign parotid tumors, which represent 83% of total parotid tumors. We performed suprafacial parotidectomies in 72% and total parotidectomy in 19% of cases. Nodulectomy was realized in 9% of patients in those tumors that arise in the lower part of the parotid gland and usualy they were Warthin tumors. The main complications of surgery were facial nerve dysfunction and Frey syndrome. We didn't have any case of permanent facial nerve dysfunction but transitory facial nerve disfunction occurred in 26% of patients. Frey syndrome appeared in 10% of patients operated of parotidectomy. Benign mixed tumor was the only one benign tumor in recurring and the frequency was 5% of patients.
我们回顾了1975年至2001年期间在巴伦西亚佩塞特医院耳鼻喉科接受腮腺切除术的患者。我们收纳了145例病例。良性和恶性肿瘤的病理分布如下：119例良性肿瘤（83%）和26例恶性肿瘤（17%）。在此我们研究良性腮腺肿瘤，其占腮腺肿瘤总数的83%。我们对72%的病例实施了浅叶腮腺切除术，19%的病例实施了全腮腺切除术。9%的腮腺下部肿瘤患者进行了淋巴结切除术，这些肿瘤通常为沃辛瘤。手术的主要并发症是面神经功能障碍和味觉出汗综合征。我们没有出现永久性面神经功能障碍的病例，但26%的患者出现了暂时性面神经功能障碍。味觉出汗综合征出现在10%的腮腺切除手术患者中。良性混合瘤是唯一复发的良性肿瘤，复发率为患者的5%。
