通过胸锁乳突肌-腮腺间隙入路进行囊外解剖可降低腮腺切除术后涎瘘和涎漏的风险。
Extracapsular dissection by the sternocleidomastoid muscle-parotid space approach reduces the risks of postparotidectomy sialocele and salivary fistula.
机构信息
Department of Oral and Maxillofacial Surgery, Peking University School and Hospital of Stomatology, Beijing, China.
National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing, China.
出版信息
Head Neck. 2022 Nov;44(11):2522-2527. doi: 10.1002/hed.27159. Epub 2022 Aug 1.
BACKGROUND
Postoperative sialoceles and fistulas are frequent surgical complications of parotid tumor resection. Extracapsular dissection by the sternocleidomastoid muscle-parotid space approach (ECD-SMPSA) is a minimally invasive technique. To our knowledge, the characteristics of sialoceles and fistulas secondary to ECD-SMPSA have not been reported.
METHODS
This prospective study enrolled 52 patients who underwent ECD-SMPSA without sialocele/fistula prevention measures. Postoperative sialoceles and fistulas were evaluated during 2 months of follow-up.
RESULTS
Among the 52 patients, only one male patient developed a mild sialocele. No salivary fistulas occurred. The overall rate of sialocele/fistula formation was 1.92%.
CONCLUSIONS
When treating clinically benign tumors that involve the sternocleidomastoid muscle-parotid space, ECD-SMPSA may prevent postoperative formation of sialoceles and salivary fistulas.
背景
腮腺肿瘤切除术后涎瘘和涎肿是常见的手术并发症。茎突-胸锁乳突肌-腮腺间隙入路（ECD-SMPSA）的囊外解剖是一种微创技术。据我们所知，ECD-SMPSA 术后涎瘘和涎肿的特征尚未有报道。
方法
本前瞻性研究纳入了 52 例未采取预防涎瘘/涎肿措施而行 ECD-SMPSA 的患者。在 2 个月的随访期间，评估术后涎瘘和涎肿的发生情况。
结果
52 例患者中，仅 1 例男性患者出现轻度涎肿。无涎瘘发生。涎瘘/涎肿总形成率为 1.92%。
结论
对于累及胸锁乳突肌-腮腺间隙的临床良性肿瘤，ECD-SMPSA 可能预防术后涎瘘和涎肿的形成。
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