Patrizi G, Fiengo L, Solai F, Giordano R, Cancrini G, Costanzo A, Arcieri S, Cinconze F, Redler A
Dipartimento di Scienze Chirurgiche, Università degli Studi di Roma La Sapienza.
G Chir. 2007 Mar;28(3):109-14.
The choice of the surgical approach is very relevant in parotid surgery because of the extreme anatomic variability of the parotideal district and the functional importance of the branches of facial nerve. The aim of this paper is to prove how an accurate knowledge of the anatomy and a careful execution of surgery permit radicality in case of tumors and respect of nerves and other structures of the region. We studied anatomy of the different intra- and periparotideal structures to compare two different approaches in parotidectomy, proving how the orthograde technique is safer and more effective in preventing hyatrogenous nerve injuries and other major complications.
由于腮腺区解剖结构的极端变异性以及面神经分支的功能重要性，手术入路的选择在腮腺手术中至关重要。本文旨在证明，对解剖结构的准确了解和手术的精细操作如何在肿瘤病例中实现根治性切除，同时保护该区域的神经和其他结构。我们研究了腮腺内和腮腺周围不同结构的解剖，比较了腮腺切除术的两种不同入路，证明了顺行技术在预防医源性神经损伤和其他主要并发症方面更安全、更有效。
