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下颌下腺切除术的手术并发症

Surgical complications of submandibular gland excision.

作者信息

Hernando Monica, Echarri Rosa Maria, Taha Muhammad, Martin-Fragueiro Luz, Hernando Ana, Mayor Guillermo Plaza

机构信息

Servicio de Otorrinolaringología, Hospital Universitario de Fuenlabrada, Universidad Rey Juan Carlos, Madrid, España.

出版信息

Acta Otorrinolaringol Esp. 2012 Jan-Feb;63(1):42-6. doi: 10.1016/j.otorri.2011.08.001. Epub 2011 Oct 19.

Abstract

INTRODUCTION AND OBJECTIVES

Submandibular gland excision is the treatment of choice in chronic pathology resistant to medical treatments or in oncological cases. The aim of this study was to analyse its current postoperative complications.

MATERIAL & METHODS: Retrospective study on submandibular gland excisions performed at our University Hospital between 2004 and 2010.

RESULTS

A total of 29 submandibular gland excisions were performed: 44.8% (13) for chronic sialadenitis, 37.9% (11) for salivary gland neoplasm and 17.2% (5) for adjacent tumours. Median length of hospital stay was 2 days. Complications were more common after gland excision due to inflammatory causes. There were only 2 cases of paralysis of the marginal facial nerve branch (6.8%); 1 was due to neoplastic pathology and 1, from inflammatory pathology.

CONCLUSION

Despite marginal facial nerve paresis being one of the most relevant issues after submandibular gland excision, this type of surgery is a safe technique in our experience.

摘要

引言与目的

对于药物治疗无效的慢性病变或肿瘤病例,下颌下腺切除术是首选治疗方法。本研究旨在分析其当前的术后并发症。

材料与方法

对2004年至2010年在我们大学医院进行的下颌下腺切除术进行回顾性研究。

结果

共进行了29例下颌下腺切除术:44.8%(13例)为慢性涎腺炎,37.9%(11例)为涎腺肿瘤,17.2%(5例)为相邻肿瘤。中位住院时间为2天。因炎症原因进行腺体切除术后并发症更为常见。仅2例出现面神经边缘支麻痹(6.8%);1例因肿瘤病理,1例因炎症病理。

结论

尽管面神经边缘支麻痹是下颌下腺切除术后最相关的问题之一,但根据我们的经验,这种手术是一种安全的技术。

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