Zhang Xiaomeng, Yang Chengzhang
Department of Otolaryngology, Union Hospital of Huazhong University of Science and Technology, Wuhan, 430022, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Aug;25(15):678-80.
To investigate the utilization of functional surgery in benign parotid tumor of superficial lobe.
Conventional parotidectomy were modified in the following aspects: incision, preservation of great auricular nerve, local facial nerve dissection, partial superficial parotidectomy and repairing of sunken deformity. The post-operative recurrence incidence, functional outcomes and complications of 21 patients with benign parotid tumor of superficial lobe undergoing functional surgery were analyzed retrospectively.
No recurrence of tumor was found in follow-ups. No obvious scar and sunken deformity was found. The area with abnormal sensory around the auricle was smaller compared with those whose great auricular nerve had not been preserved. Post-operative transient facial paralysis was observed in 4 cases and all recovered in 3 months. One case complained about Frey's syndrome. Salivary leakage was found on 1 case.
Compared with conventional surgery, functional surgery for benign parotid tumor of superficial lobe may improve cosmetic, sensory, salivary function, facial nerve function and quality of life without raising post-operative recurrence.
探讨功能性手术在腮腺浅叶良性肿瘤中的应用。
对传统腮腺切除术在切口、耳大神经保留、局部面神经解剖、腮腺浅叶部分切除及凹陷畸形修复等方面进行改良。回顾性分析21例行功能性手术的腮腺浅叶良性肿瘤患者的术后复发率、功能结局及并发症。
随访期间无肿瘤复发。未发现明显瘢痕及凹陷畸形。与未保留耳大神经者相比，耳廓周围感觉异常区域较小。4例患者术后出现短暂性面瘫，均在3个月内恢复。1例患者出现味觉出汗综合征。1例患者出现涎瘘。
与传统手术相比，腮腺浅叶良性肿瘤功能性手术可改善美容、感觉、唾液功能、面神经功能及生活质量，且不增加术后复发率。
