Chew Y K, Noorizan Y, Khir A, Brito-Mutunayagam S
Department of Otorhinolaryngology, Hospital Pakar Sultanah Fatimah, 84000 Muar, Johor.
Med J Malaysia. 2007 Dec;62(5):388-9.
This study is to analyze the incidence of facial nerve paralysis after parotidectomy and the type of pathologic condition involved in Hospital Pakar Sultanah Fatimah, Muar between 2002 and 2006. There were 20 parotidectomies done on 20 patients over this period of time. Fourteen were done for tumour and six for inflammatory conditions. The pathology involved were pleomorphic adenoma 9 (45%) cases, Kimura disease 2 (10%) cases, carcinoma 5 (25%) cases and inflammatory condition 4 (20%) cases. Out of 20 parotidectomies done (13 for superficial and 7 for total), 4 (20%) patients had complication of facial nerve paralysis, 2 Malignant tumour, 1 benign tumor and 1 was inflammatory condition. In conclusion, preservation of the facial nerve and its function, wherever possible, is very important to reduce social and functional morbidity.
本研究旨在分析2002年至2006年期间，麻坡苏丹娜法蒂玛专科医院腮腺切除术后面神经麻痹的发生率及所涉及的病理状况类型。在此期间，对20例患者进行了20次腮腺切除术。其中14例因肿瘤进行手术，6例因炎症性疾病进行手术。所涉及的病理情况包括多形性腺瘤9例（45%）、木村病2例（10%）、癌5例（25%）和炎症性疾病4例（20%）。在进行的20次腮腺切除术中（13例为浅叶切除术，7例为全腮腺切除术），4例（20%）患者出现面神经麻痹并发症，其中2例为恶性肿瘤，1例为良性肿瘤，1例为炎症性疾病。总之，尽可能保留面神经及其功能对于降低社会和功能发病率非常重要。
