Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Republic of Korea.
Head Neck. 2022 Jun;44(6):1335-1341. doi: 10.1002/hed.27027. Epub 2022 Mar 3.
This study evaluated functional and disease control outcomes after gland-preserving surgery via a single transverse cervical incision for Warthin's tumor of the parotid gland.
One-hundred eleven patients with Warthin's tumor underwent the preservation of most normal parotid tissues and the facial nerve combined with the en-bloc resection of tumors. Postoperative complications, subjective satisfaction, salivary function, and metachronous tumor were assessed in each patient.
No patients had an extension to modified Blair or periauricular incision with the median operation time of 32 min. Temporary and permanent paralysis of the facial nerve was 5 (4.0%) and none of 125 tumor resection sides, respectively. Postoperative complications were minimal. The secretory functions between the affected and unaffected glands did not differ. One patient had metachronous tumor for a median follow-up of 72 months.
Functional gland-preserving surgery via single transverse cervical incision can safely treat Warthin's tumor in the parotid gland.
本研究评估了经单一横向颈切口行保腺手术治疗腮腺沃辛瘤的功能和疾病控制结果。
111 例沃辛瘤患者行多数正常腮腺组织及面神经保留，并联合肿瘤整块切除术。评估每位患者的术后并发症、主观满意度、唾液功能和同期肿瘤情况。
中位手术时间为 32 分钟，无患者需行改良 Blair 切口或耳周切口延伸。暂时性和永久性面神经瘫痪分别为 5 例（4.0%）和 125 例肿瘤切除侧中的 0 例。术后并发症轻微。患侧和健侧腺体的分泌功能无差异。1 例患者在中位随访 72 个月时发生同期肿瘤。
经单一横向颈切口行功能性保腺手术可安全治疗腮腺沃辛瘤。
