Mazumder S M Khorshed Alam, Tarafder Kamrul Hasan, Sikder Ashfaquazaman, Sayed Salahuddin, Alauddin Mohammed
Department of ENT, Holy Family Red Crescent Medical College Hospital, Dhaka.
J Indian Med Assoc. 2008 Jan;106(1):16, 18, 20.
Preservation of facial nerve is a real challenge in parotidectomy. Total conservative parotidectomy and superficial parotidectomy are the commonly practised operations for parotid diseases. Twelve patients have undergone total conservative parotidectomy and 52 patients have undergone superficial perotidectomy with preservation of integrity and function of the facial nerve and its branches. Fifty-eight patients were suffering from neoplastic conditions of which 46 had pleomorphic adenoma, 7 had muco-epidermoid carcinoma, 3 had carcinoma ex-pleomorphic adenoma, and 2 had adenoid cystic carcinoma. Non-neoplastic conditions were seen in 6 cases of which 3 had chronic parotitis and 3 had congenital parotid fistula. The aim of the study was to observe the efficacy of preservation of facial nerve in parotidectomy done in 64 patients.
在腮腺切除术中，保留面神经是一项真正的挑战。全保守性腮腺切除术和腮腺浅叶切除术是治疗腮腺疾病常用的手术方式。12例患者接受了全保守性腮腺切除术，52例患者接受了腮腺浅叶切除术，术中保留了面神经及其分支的完整性和功能。58例患者患有肿瘤性疾病，其中46例为多形性腺瘤，7例为黏液表皮样癌，3例为多形性腺瘤恶变，2例为腺样囊性癌。6例为非肿瘤性疾病，其中3例为慢性腮腺炎，3例为先天性腮腺瘘。本研究的目的是观察64例患者腮腺切除术中保留面神经的疗效。
