Department of Otorhinolaryngology, Head and Neck Surgery, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA,
Eur Arch Otorhinolaryngol. 2014 May;271(5):1181-5. doi: 10.1007/s00405-013-2616-8. Epub 2013 Jul 6.
Deep lobe parotidectomy is an important management approach for highgrade primary parotid cancers that metastasize to the deep lobe nodes and for cancers that metastasizes to the deep parotid from a site outside the parotid. This paper reviews the rationale for deep lobe parotidectomy with facial nerve preservation for these parotid cancers. Deep lobe parotid involvement was reviewed in 27 patients. Twelve patients had primary parotid tumors that metastasized to the deep lobe, and 15 had tumors outside the parotid that metastasized to deep parotid nodes. Deep lobe parotidectomy should be considered in patients with a highgrade primary parotid tumor, a cancer that metastasizes to a superficial intraparotid node, or a primary parotid malignancy that metastasizes to a superficial parotid node or a neck node.
深叶腮腺切除术是一种重要的治疗方法，适用于高级别原发性腮腺癌转移至深叶淋巴结的情况，以及从腮腺外部位转移至深腮腺的癌症。本文回顾了保留面神经的深叶腮腺切除术治疗这些腮腺癌的基本原理。回顾了 27 例深叶腮腺受累患者的资料。12 例患者为原发性腮腺肿瘤转移至深叶，15 例患者为腮腺外肿瘤转移至深腮腺淋巴结。对于高级别原发性腮腺肿瘤、转移至腮腺浅部淋巴结的癌症，或转移至腮腺浅部淋巴结或颈部淋巴结的原发性腮腺恶性肿瘤的患者，应考虑深叶腮腺切除术。
