Tahim A, Aludden H, Jawad S, Sadiq Z
Present Address: Department of Head and Neck Surgery, University College London Hospital, 250 Euston Rd, Bloomsbury, London, NW1 2BU UK.
J Maxillofac Oral Surg. 2019 Jun;18(2):245-248. doi: 10.1007/s12663-018-1137-9. Epub 2018 Jul 26.
Removing deep parotid lobe lesions often requires a mandibulotomy procedure which carries with it a risk of significant morbidity. A transoral approach may help mitigate against complications but is technically demanding due to limited access in an area with a close relation to the internal carotid artery.
We describe a multi-disciplinary approach with the use of intraoral ultrasound-guided wire localization of a low-grade acinic cell carcinoma located in the deep lobe of the right parotid gland.
Our multi-disciplinary approach facilitated the complete removal of this deep lobe parotid lesion via a transoral approach with minimal post-operative sequelae or complications.
In selected cases, with appropriate expertise, this dynamic approach can potentially be used even for malignant disease to limit post-operative morbidity when managing small deep parotid lobe lesions.
切除腮腺深叶病变通常需要进行下颌骨切开术，该手术伴有显著的发病风险。经口入路可能有助于减少并发症，但由于在与颈内动脉关系密切的区域操作空间有限，技术要求较高。
我们描述了一种多学科方法，该方法利用口腔内超声引导对位于右侧腮腺深叶的低级别腺泡细胞癌进行导丝定位。
我们的多学科方法通过经口入路促进了该腮腺深叶病变的完整切除，术后后遗症或并发症最少。
在特定病例中，凭借适当的专业知识，这种动态方法甚至可能用于恶性疾病，以在处理小的腮腺深叶病变时限制术后发病率。
