Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Hwasun Hospital, 160 Ilsimri, Hwasun, Jeonnam, 519-809, South Korea.
Eur Arch Otorhinolaryngol. 2020 Aug;277(8):2315-2318. doi: 10.1007/s00405-020-05931-x. Epub 2020 Mar 25.
Unexpected facial nerve damage can occur during parotid gland tumor surgery. We sought to determine the incidence and treatment outcomes of unexpected facial nerve injuries in patients with parotid gland tumor surgery.
We retrospectively enrolled in this study five patients, who underwent facial nerve neurorrhaphy due to unexpected facial nerve injury during parotid gland tumor surgery January 2012-August 2019.
There were five patients (0.008%) with unexpected facial nerve injuries during the parotid gland tumor surgery of 577 patients in our hospital for approximately 8 years. The most common injury site of facial nerve was the marginal mandibular branch (n = 3), followed by the buccal branch (n = 1), and the cervicofacial division (n = 1). In the case of unexpected facial nerve damage, our treatment is immediate primary neurorrhaphy and steroid treatment. Three patients of five recovered and two did not worsen immediately after surgery.
Unexpected facial nerve injury during parotid gland tumor surgery is extremely unfortunate. In this case, immediate primary neurorrhaphy and systemic steroids are recommended to restore facial function and reduce cosmetic deficits.
在腮腺肿瘤手术过程中可能会发生意外面神经损伤。我们旨在确定腮腺肿瘤手术中意外面神经损伤患者的发生率和治疗结果。
我们回顾性地纳入了这项研究中的五名患者，他们因腮腺肿瘤手术中意外面神经损伤而行面神经吻合术，时间为 2012 年 1 月至 2019 年 8 月。
在我院大约 8 年期间对 577 例腮腺肿瘤患者的手术中，有 5 例（0.008%）发生了意外面神经损伤。面神经最常见的损伤部位是下颌缘支（n=3），其次是颊支（n=1）和颈面支（n=1）。在意外面神经损伤的情况下，我们的治疗是立即进行初级神经吻合术和类固醇治疗。五名患者中有三名在手术后立即恢复，两名没有立即恶化。
腮腺肿瘤手术中发生的意外面神经损伤极其不幸。在这种情况下，建议立即进行初级神经吻合术和全身类固醇治疗，以恢复面部功能并减少美容缺陷。
