Hughes J P, Tatla T, Farrell R
Clin Otolaryngol. 2006 Oct;31(5):443-6. doi: 10.1111/j.1749-4486.2006.01244.x.
Keypoints * The aim of this study was to identify changes in the provision of parotid, submandibular and thyroid gland surgery between surgical specialties since 1989, as well as changes in surgical practice. * Data from the Department of Health's Hospital Episode Statistics (HES) was extracted from 1989/1990 and 2003/2004 records by operation and surgical specialty in England. * The data reveals a considerable decline in the amount of parotid and submandibular surgery performed by General surgeons; with the majority of this surgery currently being performed by ENT surgeons, and to a lesser extent, Oral and Maxillo-Facial surgeons. * Thyroid surgery has undergone less radical change, with General surgeons continuing to perform the majority of cases; however, an increasing proportion is now provided by ENT surgeons. * There also seems to be changes in the types of thyroid operation being performed; with large increases in total thyroidectomy and reductions in subtotal thyroidectomies.
关键点
本研究的目的是确定自1989年以来各外科专业在腮腺、下颌下腺和甲状腺手术方面的提供情况变化，以及手术实践的变化。
从英国卫生部的医院事件统计（HES）中提取了1989/1990年和2003/2004年按手术和外科专业分类的记录数据。
数据显示，普通外科医生进行的腮腺和下颌下腺手术数量大幅下降；目前，大部分此类手术由耳鼻喉科医生进行，口腔颌面外科医生进行的比例较小。
甲状腺手术的变化较小，普通外科医生仍继续进行大多数病例的手术；然而，现在耳鼻喉科医生进行的比例在增加。
所进行的甲状腺手术类型似乎也有变化；全甲状腺切除术大幅增加，次全甲状腺切除术减少。
