Proot J L J, Nelissen P, Ladlow J F, Bowlt Blacklock K, Kulendra N, de la Puerta B, Sheahan D E
Calder Vets Ltd., Dewsbury, West-Yorkshire, WF12 9LN.
Department of Surgery, Dick White Referrals, Newmarket, Suffolk, CB8 0UH.
J Small Anim Pract. 2016 Feb;57(2):79-83. doi: 10.1111/jsap.12429. Epub 2015 Dec 24.
To describe the presentation, diagnosis, cause, complications and outcome in 14 dogs that presented with a parotid sialocoele and that were treated by complete parotidectomy.
Multi-institutional retrospective study.
Each dog presented with a non-painful, fluctuant, soft tissue mass over the lateral aspect of the face in the region of the parotid salivary gland. Diagnosis was made by sialoradiography (3/14), CT (3/14), ultrasound (11/14) and MRI (2/14). The cause of the sialocoele could be determined in 8 of 14 patients and included: foreign body (2/14), sialolithiasis (1/14), neoplasia (3/14), salivary gland lipomatosis (1/14) and trauma (1/14). Treatment incurred one anaesthetic complication (regurgitation) and seven postoperative surgical complications [self-limiting seroma formation (2/14), haemorrhage (1/14), wound dehiscence (1/14), abscessation 7 months postoperatively (1/14) and facial nerve paralysis (2/14)]. Sialocoele did not recur in any dog during a median follow-up time of 14 months.
Parotidectomy has been considered a technically challenging procedure but can have a good success rate with long-term resolution of the clinical symptoms. Intra- and postoperative complications are reasonably common.
描述14只患有腮腺唾液囊肿并接受腮腺全切除术治疗的犬的临床表现、诊断、病因、并发症及预后。
多机构回顾性研究。
每只犬在腮腺区域的面部外侧出现无痛性、波动性软组织肿块。通过唾液造影（3/14）、CT（3/14）、超声（11/14）和MRI（2/14）进行诊断。14例患者中有8例可确定唾液囊肿的病因，包括：异物（2/14）、涎石病（1/14）、肿瘤（3/14）、唾液腺脂肪瘤病（1/14）和创伤（1/14）。治疗出现1例麻醉并发症（反流）和7例术后手术并发症[自限性血清肿形成（2/14）、出血（1/14）、伤口裂开（1/14）、术后7个月脓肿形成（1/14）和面神经麻痹（2/14）]。在中位随访时间14个月内，任何犬的唾液囊肿均未复发。
腮腺切除术一直被认为是一项技术上具有挑战性的手术，但对临床症状的长期缓解可能有较高的成功率。术中和术后并发症相当常见。
