Department of Otorhinolaryngology and Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
Department of Otorhinolaryngology and Head and Neck Surgery, Medical University of Vienna, Vienna, Austria.
J Craniomaxillofac Surg. 2020 Mar;48(3):199-202. doi: 10.1016/j.jcms.2020.01.003. Epub 2020 Jan 16.
Most studies that examine postoperative outcomes after parotidectomy in patients with benign parotid gland tumors are based on retrospective chart reviews. Data about long-term results in patients with parotid gland surgery with patient contact are still sparsely published.
During the period of 1960-2005, a total of 127 patients underwent either extracapsular dissection (ECD) or superficial parotidectomy (SP) and were available for interview. Patients were questioned about their postoperative outcome after parotid gland surgery.
The mean follow-up was 21.5 years. A total of 42 and 85 patients underwent ECD and SP, respectively. No significant differences were observed in the rates of permanent facial paralysis (SP 1.2% vs. ECD 7.1%; p = 0.1053) or recurrence (SP 4.7% vs. ECD 11.9%; p = 0.1557), and Frey's syndrome was diagnosed only after SP (10.6% vs. 0% after ECD, p = 0.0293). Frey's syndrome was detected more often compared to retrospective chart analysis.
We conclude that Frey's syndrome is underdiagnosed after SP without standardized follow-up examinations. Long-term follow-up should be applied to detect and treat gustatory sweating.
大多数研究检查腮腺良性肿瘤患者腮腺切除术后的结果都是基于回顾性图表审查。关于有患者接触的腮腺手术长期结果的数据仍然很少发表。
在 1960 年至 2005 年间，共有 127 例患者接受了包膜外剥离术（ECD）或腮腺浅叶切除术（SP），并可进行随访。对患者进行了腮腺手术后的术后结果询问。
平均随访时间为 21.5 年。共有 42 例和 85 例患者分别接受了 ECD 和 SP。永久性面瘫（SP 1.2%与 ECD 7.1%；p=0.1053）或复发（SP 4.7%与 ECD 11.9%；p=0.1557）的发生率无显著差异，且 Frey 综合征仅在 SP 后被诊断（10.6%与 ECD 后 0%，p=0.0293）。与回顾性图表分析相比，Frey 综合征的检出率更高。
我们得出结论，在没有标准化随访检查的情况下，SP 后 Frey 综合征的诊断不足。应进行长期随访以检测和治疗味觉出汗。
