Ann Ital Chir. 2022;93:152-159.
Parotid gland is the most common location for salivary gland tumors, more commonly pleomorphic adenoma and Warthin's tumor. Types of parotid surgery include superficial parotidectomy (SP), partial superficial parotidectomy (PSP), total conservative parotidectomy (TCP), enucleation (E), extracapsular dissection (ECD), and are related to different incidence of complications. The choice depends on tumors localization, dimension and histology. The aim was to compare complications rate such as facial and great auricular nerve impairment and Frey syndrome according to type of surgery performed.
We retrospectively review the management of 116 benign tumors of the parotid gland treated between January 2004 and January 2020 at our Department.
Most frequent complication observed was a GAN deficiency (22.41%), permanent in 13% of cases. Post-operative facial nerve impairment was observed in 19 patients (persistent only in 1 case). Only Frey syndrome (4,31% of cases) seemed to be related to type of surgery (p<0.05) resulting more frequent in the group of patients that underwent "classical" parotidectomy, while facial nerve impairment, even if more frequent in this cases, did not statistically correlated with operative technique (p=0.054).
Once experience is gained, in order to reduce post-operative morbidity extracapsular dissection is a reliable technique in the management of these neoplasms, even if attention has to be paid particularly in the removal of superficial masses "emerging" from the parenchyma. PSP is an alternative to SP, while CTP has to be reserved to selected cases ot tumors arising in the deep lobe.
Benign tumor, Extracapsular dissection, Enucleation, Facial nerve Parotid gland, Parotidectomy, Superficial parotidectomy.
腮腺是唾液腺肿瘤最常见的部位，更常见的是多形性腺瘤和沃辛瘤。腮腺手术类型包括腮腺浅叶切除术（SP）、部分腮腺浅叶切除术（PSP）、全保留腮腺切除术（TCP）、剜除术（E）、囊外解剖术（ECD），与不同的并发症发生率有关。选择取决于肿瘤的定位、大小和组织学。目的是根据所行手术类型比较并发症发生率，如面神经和耳大神经损伤及弗雷综合征。
我们回顾性分析了 2004 年 1 月至 2020 年 1 月期间在我科治疗的 116 例腮腺良性肿瘤患者的治疗方法。
最常见的并发症是 GAN 缺乏（22.41%），永久性缺乏占 13%。术后面神经损伤发生在 19 例患者中（仅 1 例持续）。仅弗雷综合征（4，31%的病例）似乎与手术类型有关（p<0.05），在接受“经典”腮腺切除术的患者中更为常见，而面神经损伤虽然在这些病例中更为常见，但与手术技术无统计学相关性（p=0.054）。
一旦获得经验，为了降低术后发病率，囊外解剖术是这些肿瘤治疗的可靠技术，即使在切除从实质“突出”的浅表肿块时也要特别注意。PSP 是 SP 的替代方法，而 CTP 必须保留给深部叶起源的肿瘤的选择病例。
良性肿瘤，囊外解剖术，剜除术，腮腺，腮腺切除术，腮腺浅叶切除术。
