Ahn Dongbin, Sohn Jin Ho, Lee Gil Joon, Hwang Ki Ha
Department of Otolaryngology - Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.
Head Neck. 2017 Apr;39(4):748-753. doi: 10.1002/hed.24678. Epub 2017 Jan 9.
The purpose of this study was to present our evaluation of the feasibility of using a retroauricular approach for excision of benign upper neck mass lesions without assistance of an endoscopic or robotic system.
We enrolled 23 patients with benign neck mass lesions of the parotid gland, submandibular gland, and the level II/III region who underwent surgery via a retroauricular approach.
In 22 of 23 patients (95.7%), parotidectomies, submandibular gland resections, and mass excisions were successfully completed under direct vision, without endoscopic or robotic assistance. Mean operation time, drainage amount, and drainage duration were 99.1 minutes, 44.3 mL, and 2.9 days, respectively. For a total of 23 patients, the mean visual analog scale score for subjective satisfaction with the incision scar was 8.9. No serious or permanent complications occurred.
Excision using a retroauricular approach under direct vision is technically feasible for many benign mass lesions of the parotid gland, submandibular gland, and levels II/III of the neck region. © 2017 Wiley Periodicals, Inc. Head Neck 39: 748-753, 2017.
本研究的目的是展示我们对于在无内镜或机器人系统辅助的情况下，采用耳后入路切除颈部上段良性肿块病变的可行性评估。
我们纳入了23例患有腮腺、颌下腺良性颈部肿块病变以及II/III区病变的患者，他们均通过耳后入路接受了手术。
23例患者中的22例（95.7%）在直视下成功完成了腮腺切除术、颌下腺切除术和肿块切除术，无需内镜或机器人辅助。平均手术时间、引流量和引流持续时间分别为99.1分钟、44.3毫升和2.9天。23例患者对切口瘢痕主观满意度的视觉模拟量表平均评分为8.9。未发生严重或永久性并发症。
对于腮腺、颌下腺以及颈部II/III区的许多良性肿块病变，在直视下采用耳后入路进行切除在技术上是可行的。© 2017威利期刊公司。《头颈》39: 748 - 753, 2017。
