Alajmo E, Polli G, De Meester W
Department of Otolaryngology, University of Florence, Italy.
J Laryngol Otol. 1989 Feb;103(2):181-6. doi: 10.1017/s0022215100108394.
The results of 25 years of quasi-routine total parotidectomy performance are shown. At the Department of Otolaryngology of the University of Florence, 582 patients were treated as follows: on 527 occasions by total parotidectomy with facial nerve preservation; 24 occasions by lateral lobectomy; 27 occasions by total parotidectomy with removal of the whole facial nerve; four times by enucleo-resection of the disease. Benign tumours were 378; primary and metastatic malignant tumours--100; non tumoral lesions--104. The benign tumours follow-up showed three recurrences only (two pleomorphic adenomas--one of them proved to be an adenoid-cystic carcinoma, and one monomorphic adenoma, which also proved to be an adenoid-cystic carcinoma), respectively 6, 6 and 8 years later. The malignant tumours were also treated by total parotidectomy with adequate management both of the facial nerve and the neck lymph nodes. The results thoroughly justify the nerve preservation, when preserved.
展示了25年准常规全腮腺切除术的实施结果。在佛罗伦萨大学耳鼻喉科，582例患者接受了如下治疗：527例接受保留面神经的全腮腺切除术；24例接受外侧叶切除术；27例接受切除整个面神经的全腮腺切除术；4例接受病灶剜除切除术。良性肿瘤378例；原发性和转移性恶性肿瘤100例；非肿瘤性病变104例。良性肿瘤随访仅发现3例复发（2例多形性腺瘤——其中1例后来证实为腺样囊性癌，1例单形性腺瘤，后来也证实为腺样囊性癌），分别在6年、6年和8年后复发。恶性肿瘤也通过全腮腺切除术治疗，同时对面神经和颈部淋巴结进行了适当处理。这些结果充分证明了在可行时保留面神经的合理性。
