Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul
a Department of Otolaryngology-Head and Neck Surgery , Chonnam National University Medical School; and Chonnam National University Hwasun Hospital , Hwasun , South Korea.
Acta Otolaryngol. 2017 Sep;137(9):1007-1009. doi: 10.1080/00016489.2017.1318221. Epub 2017 Apr 27.
Extracapsular dissection conferred the advantage of reduced operation time and morbidity without any recurrence, and it could be considered as the treatment of choice for Warthin tumors in the tail of the parotid gland.
The purpose of this study is to confirm the appropriate surgical procedure for Warthin tumor in the tail of the parotid gland, by comparing the results of extracapsular dissection and superficial parotidectomy.
The medical records of 72 patients with Warthin tumor in the tail of the parotid gland who underwent surgery between January 2006 and December 2016 were retrospectively reviewed.
In the extracapsular dissection group, a total of 44 parotid gland operations were performed in 40 patients. In the superficial parotidectomy group, a total of 34 parotid gland operations were performed in 32 patients. The operation time was significantly shorter in the extracapsular dissection group than in the superficial parotidectomy group (p<.001, Table 1). One patient in the extracapsular dissection group and five patients in the superficial parotidectomy group had postoperative facial nerve palsy. Recurrence of Warthin tumor in the tail portion of the parotid gland was identified in one patient who underwent superficial parotidectomy.
囊外剥离术具有手术时间缩短、发病率降低且无复发的优势，可被视为腮腺尾部沃辛瘤的首选治疗方法。
本研究旨在通过比较囊外剥离术和腮腺浅叶切除术的结果，确定腮腺尾部沃辛瘤的合适手术方法。
回顾性分析2006年1月至2016年12月期间接受手术治疗的72例腮腺尾部沃辛瘤患者的病历。
在囊外剥离术组，40例患者共进行了44次腮腺手术。在腮腺浅叶切除术组，32例患者共进行了34次腮腺手术。囊外剥离术组的手术时间明显短于腮腺浅叶切除术组（p<0.001，表1）。囊外剥离术组有1例患者和腮腺浅叶切除术组有5例患者出现术后面神经麻痹。在接受腮腺浅叶切除术的1例患者中发现腮腺尾部沃辛瘤复发。
