Shashinder S, Tang I P, Velayutham P, Prepageran N, Gopala K G, Kuljit S, Anura M M, Chong Sheldon Y C
Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, 50630 Kuala Lumpur, Malaysia.
Med J Malaysia. 2009 Mar;64(1):31-3.
To review the demographics, management and outcome of patients undergoing parotidectomy at a tertiary center. A total of 76 patients who underwent parotidectomies from January 1996 to December 2005 at the ORL department of our center were reviewed. All clinical, operative, postoperative, histology data were gathered and reviewed. Fine-needle aspiration cytology (FNAC) was diagnostic in 90% of patients with a sensitivity of 76% and specificity of 96%. Twenty-one patients had malignant tumours and the rest had benign or inflammatory lesions. There were a total of 48 superficial and 28 total parotidectomies performed. Facial nerve palsy occurred in 30 (39%) patients with 4% permanent palsy and 35% temporary palsy. The recurrence rate of pleomorphic adenoma was 2.6%. FNAC and CT scan were performed prior to the surgery were useful guidance in planning the operation but clinical judgment is more important. The most common surgery performed was superficial parotidectomy and the most common cause was due to pleomorphic adenoma. The incidence of complications and recurrence of tumour are comparable to other international studies. Prior knowledge of anatomy and careful planning is needed to decrease the incidence of facial nerve palsy.
回顾在一家三级中心接受腮腺切除术患者的人口统计学特征、治疗及预后情况。对1996年1月至2005年12月在本中心耳鼻喉科接受腮腺切除术的76例患者进行了回顾性研究。收集并审查了所有临床、手术、术后及组织学数据。细针穿刺细胞学检查（FNAC）对90%的患者具有诊断价值，敏感性为76%，特异性为96%。21例患者患有恶性肿瘤，其余患者患有良性或炎性病变。共进行了48例浅叶腮腺切除术和28例全腮腺切除术。30例（39%）患者发生面神经麻痹，其中4%为永久性麻痹，35%为暂时性麻痹。多形性腺瘤的复发率为2.6%。术前进行的FNAC和CT扫描对手术规划有指导作用，但临床判断更为重要。最常进行的手术是浅叶腮腺切除术，最常见的病因是多形性腺瘤。并发症发生率和肿瘤复发率与其他国际研究相当。需要对解剖结构有预先了解并进行仔细规划，以降低面神经麻痹的发生率。
