Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Haidian District, Beijing, PR China.
Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, Haidian District, Beijing, PR China.
Int J Oral Maxillofac Surg. 2021 Aug;50(8):1012-1018. doi: 10.1016/j.ijom.2020.11.005. Epub 2021 Jan 16.
This article reports the surgical resection of clinically benign tumours in the maxillomandibular deep lobe of the parotid gland via sternocleidomastoid muscle-parotid space (SPS) approach. The use of maxillary-mandibular planes to subdivide the deep lobe of the parotid gland in order to establish the tumour location and accessibility is introduced. This approach, which does not raise a skin flap, may preserve the superficial lobe. Ten patients with clinically benign tumours in the maxillomandibular deep lobe of the parotid gland were treated via the SPS approach. The patients were followed up for 3-5 years and the surgical outcomes were analysed. All tumours were completely enucleated via the SPS approach with an optimal aesthetic outcome. No permanent facial weakness or tumour recurrence was identified during the 3-5 years of follow-up. The SPS approach to surgical resection is an ideal option for clinically benign tumours in the maxillomandibular deep lobe of the parotid gland and demonstrates good results.
本文报告了通过胸锁乳突肌-腮腺间隙（SPS）入路对临床良性腮腺颌下深部肿瘤进行的手术切除。介绍了使用上颌-下颌平面对腮腺深部进行细分以确定肿瘤位置和可及性的方法。这种不掀起皮瓣的方法可以保留浅叶。10 例临床良性腮腺颌下深部肿瘤患者采用 SPS 入路治疗。对患者进行了 3-5 年的随访，并对手术结果进行了分析。所有肿瘤均通过 SPS 入路完全剜除，美容效果理想。在 3-5 年的随访中，未发现永久性面瘫或肿瘤复发。SPS 入路手术切除是临床良性腮腺颌下深部肿瘤的理想选择，效果良好。
