Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology; National Center of Stomatology & National Clinical Research Center for Oral Diseases; National Engineering Laboratory for Digital and Material Technology of Stomatology; Beijing Key Laboratory of Digital Stomatology.
Department of Oral and Maxillofacial Surgery, Peking University International Hospital, Beijing 102206, PR China.
J Craniofac Surg. 2023 May 1;34(3):1054-1057. doi: 10.1097/SCS.0000000000008525. Epub 2022 Feb 3.
To evaluate the feasibility of endoscope-assisted extracapsular resection of benign parotid tumors via temporal and retroauricular approach.
A total of 12 patients with parotid gland tumors had endoscope-assisted extracapsular resection performed via temporal and retroauricular approach (4 versus 8) between January 2018 and January 2019.
All tumors were benign with a median diameter of 2.32 ± 0.49 cm. The mean length of the skin incision was 3.5 ±0.35 cm. The mean operating time 86.7 ± 10.8 minutes. The median blood loss was 30.4 ± 5.94 ml. The median volume of drainage was 27.1 ± 8.88 ml and the duration of drainage was 2 ± 0.71 days. The mean aesthetics scoring assigned by patients was 9.67 ± 0.51. Two patients had numbness of the earlobe and 1 patient developed a transient salivary sialocele. No facial nerve paresis was observed and no tumor recurrence occurred during the follow-up period.
The minimally invasive endoscope-assisted extracapsular resection of benign parotid tumors provide both a safe and reliable technique for benign parotid tumors with excellent cosmetic results.
评估经颞部和耳后入路内镜辅助下腮腺良性肿瘤囊外切除术的可行性。
2018 年 1 月至 2019 年 1 月，12 例腮腺肿瘤患者采用经颞部和耳后入路内镜辅助下腮腺良性肿瘤囊外切除术（4 例与 8 例）。
所有肿瘤均为良性，直径中位数为 2.32 ± 0.49cm。皮肤切口平均长度为 3.5 ±0.35cm。平均手术时间为 86.7 ± 10.8 分钟。中位出血量为 30.4 ± 5.94ml。中位引流体积为 27.1 ± 8.88ml，引流时间为 2 ± 0.71 天。患者平均美学评分 9.67 ± 0.51。2 例患者耳垂麻木，1 例患者出现暂时性唾液瘘。随访期间无面神经瘫痪，无肿瘤复发。
经颞部和耳后入路内镜辅助下腮腺良性肿瘤的微创囊外切除术为腮腺良性肿瘤提供了一种安全可靠的技术，美容效果良好。
