Singh Rabindra Pratap, Abdel-Galil Khalid, Harbottle Matthew, Telfer Martin R
Oral and Maxillofacial Surgery, Leeds General Infirmary, Leeds LS1 3EX, UK.
Br J Oral Maxillofac Surg. 2012 Jun;50(4):338-43. doi: 10.1016/j.bjoms.2011.05.019. Epub 2011 Jun 28.
We retrospectively analysed the clinicopathological profiles of all 9 patients aged 16 years and under who had had parotidectomies at York Hospital, UK from 1995 to 2009. The operations were superficial parotidectomy (n=3), partial parotidectomy (n=4), and total parotidectomy with preservation of the facial nerve (n=2). The histological diagnoses were anomalies of the remnant of the branchial arch (n=4), and pleomorphic adenoma, haemangioma, cat scratch disease, juvenile chronic parotitis, and sarcoidosis (n=1 each) The histological diagnosis matched the clinical diagnosis in only 5. The most common complication (n=6) was transient weakness of the facial nerve. Various conditions that may be difficult to diagnose clinically can affect the parotid gland in young patients and require intervention. We describe our investigations, and indications for intervention in the management of parotid disease in children.
我们回顾性分析了1995年至2009年在英国约克医院接受腮腺切除术的所有9名16岁及以下患者的临床病理特征。手术方式为浅叶腮腺切除术（n = 3）、部分腮腺切除术（n = 4）和保留面神经的全腮腺切除术（n = 2）。组织学诊断为鳃弓残余异常（n = 4），多形性腺瘤、血管瘤、猫抓病、青少年慢性腮腺炎和结节病（各n = 1）。组织学诊断与临床诊断仅5例相符。最常见的并发症（n = 6）是面神经短暂性麻痹。各种临床诊断可能困难的疾病可影响年轻患者的腮腺，需要进行干预。我们描述了我们的研究以及儿童腮腺疾病管理中的干预指征。
