Hussain Akhtar, Murray Daran P
Department of Otolaryngology, Grampian University Hospitals Trust, Aberdeen Royal Infirmary, Foresterhill Rd., Aberdeen AB25 2ZN, UK.
Ear Nose Throat J. 2004 Nov;83(11):768, 770-1.
Submandibular sialoadenectomy is a common head and neck procedure. Indications include the presence of benign and malignant tumors and inflammatory disease with or without intraglandular sialolithiasis. The standard technique involves a variably sized incision. The facial artery and vein are usually ligated and transected during the procedure, and either suction or nonsuction wound drainage is generally instituted. We describe a modified sialoadenectomy technique that involves a minimal incision, preserves the facial artery and vein, and does not require wound drainage because the surgical site is closed in three layers. We performed this procedure on 19 patients and observed only 1 postoperative complication--mild paresis of the right marginal mandibular branch of the facial nerve following the excision of a Warthin's tumor: This patient recovered fully 3 months postoperatively.
下颌下腺切除术是一种常见的头颈外科手术。适应证包括存在良性和恶性肿瘤以及伴有或不伴有腺体内涎石病的炎症性疾病。标准技术需要一个大小可变的切口。手术过程中通常结扎并切断面动脉和面静脉，一般采用吸引或非吸引伤口引流。我们描述了一种改良的涎腺切除术技术，该技术切口最小，保留面动脉和面静脉，且由于手术部位分三层缝合，不需要伤口引流。我们对19例患者实施了该手术，仅观察到1例术后并发症——在切除沃辛瘤后右侧面神经下颌缘支轻度麻痹：该患者术后3个月完全康复。
