Department of Otolaryngology, Bradford Teaching Hospitals NHS Foundation Trust, Bradford, UK.
J Laryngol Otol. 2021 Oct;135(10):883-886. doi: 10.1017/S0022215121002115. Epub 2021 Aug 6.
To report the clinical outcomes of patients with chronic parotid sialadenitis treated with superficial parotidectomy, and to review the literature.
A retrospective case series was conducted of all patients undergoing parotidectomy for chronic parotid sialadenitis at our institution between 2009 and 2018.
Eighteen superficial parotidectomies were performed, resulting in complete symptom resolution in 17 patients. There was only one recurrence, of a milder form of the disease, requiring no specific treatment. Eight temporary post-operative facial nerve palsies and one permanent palsy occurred. Further complications included post-operative wound haematoma, seroma, Frey's syndrome, neuropathic pain and wound infection.
Superficial parotidectomy is sufficient to control patient symptoms, avoiding the increased morbidity associated with near-total parotidectomy. The literature does not point to a clear difference in either the incidence of recurrence or the risk of a facial nerve palsy between the two procedures. Furthermore, the symptoms attributed to recurrence are often not severe enough to warrant salvage near-total parotidectomy.
报告慢性腮腺唾液腺炎患者接受腮腺浅叶切除术的临床结果，并复习文献。
对 2009 年至 2018 年在我院接受腮腺浅叶切除术治疗慢性腮腺唾液腺炎的所有患者进行回顾性病例系列研究。
共行 18 例腮腺浅叶切除术，17 例患者症状完全缓解。仅 1 例复发，为疾病较轻的形式，无需特殊治疗。8 例暂时性术后面神经瘫痪和 1 例永久性瘫痪。其他并发症包括术后伤口血肿、血清肿、弗雷氏综合征、神经性疼痛和伤口感染。
腮腺浅叶切除术足以控制患者症状，避免与近全腮腺切除术相关的更高发病率。文献并没有指出两种手术在复发的发生率或面神经瘫痪的风险方面有明显的差异。此外，归因于复发的症状通常不够严重，无需行挽救性近全腮腺切除术。
