Kligerman Maxwell P, Song Yohan, Schoppy David, Divi Vasu, Megwalu Uchechukwu C, Haughey Bruce H, Sirjani Davud
Stanford University School of Medicine, 291 Campus Drive, Stanford, CA 94305.
Department of Otolaryngology/Head and Neck Surgery, Stanford University, 801 Welch Rd, Stanford, CA 94305.
Am J Otolaryngol. 2017 Sep-Oct;38(5):533-536. doi: 10.1016/j.amjoto.2017.05.003. Epub 2017 May 5.
The most common surgical method to remove benign parotid tumors remains the prograde approach. We examined if a retrograde surgical technique offers better outcomes than historical prograde controls.
A retrospective chart review at Stanford Hospital was conducted to identify retrograde parotidectomies between February 2012 and October 2014 that were staffed by the senior author (DS) with resident involvement. Facial nerve (FN) outcomes and other post-surgical parameters were recorded.
We identified 44 consecutive cases and found that 18.2% (n=8) of patients experienced temporary paresis and 2.3% (n=1) experienced minor (HB 2) permanent paresis limited to one branch. The average hospital length of stay was 0.64 days and complication rate was 6.8%.
The retrograde technique has complication rates comparable to historical rates for the prograde technique and is amenable to minimally invasive outpatient superficial parotidectomy.
切除腮腺良性肿瘤最常用的手术方法仍是顺行入路。我们研究了逆行手术技术是否比既往的顺行对照手术能带来更好的结果。
对斯坦福医院进行回顾性病历审查，以确定2012年2月至2014年10月间由资深作者（DS）主刀并由住院医师参与的逆行腮腺切除术。记录面神经（FN）结果及其他术后参数。
我们确定了连续44例病例，发现18.2%（n = 8）的患者出现暂时性麻痹，2.3%（n = 1）的患者出现限于一个分支的轻度（House-Brackmann 2级）永久性麻痹。平均住院天数为0.64天，并发症发生率为6.8%。
逆行技术的并发症发生率与既往顺行技术的发生率相当，适用于微创门诊浅表腮腺切除术。
