Wang Guanru, Tang Heyi, Li Bingzhi, Liu Zhe, Zhang Zhuoyuan, Zhu Guiquan, Li Chunjie, Yan Bing
State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
Gland Surg. 2024 Nov 30;13(11):1931-1941. doi: 10.21037/gs-24-294. Epub 2024 Nov 26.
Transoral endoscopic resection is an updated treatment of accessory parotid gland tumors. The aim of this study was to present the endoscopic transoral resection surgical technique and clinical outcomes of accessory parotid tumors.
Articles on endoscopic transoral approach for accessory parotid tumors were searched in PubMed, China National Knowledge Infrastructure (CNKI), and Web of Science databases. Patient information from these articles was extracted and retrospectively analyzed along with data from patients we treated. The procedure was reported in detail using a classic case.
A total of 119 articles were identified through database searches, of which 7 were included in the final analysis, providing medical information for 30 patients. Additionally, 10 cases of endoscopic transoral surgery were performed at West China Hospital of Stomatology and the First Affiliated Hospital of Xiamen University from January 2022 to April 2024. There are five male patients and five female patients, with a mean age of 42.50±15.56 years. The average operation time was 54.70±7.73 minutes. Lesion diameters varied from 1 to 3 cm, averaging 1.90±0.57 cm. Most patients were diagnosed with pleomorphic adenoma. One patient was diagnosed with mucoepidermoid carcinoma according to intraoperative frozen biopsy, and a complete parotid lobectomy was performed with traditional standard S-shaped incision instead. All of the 40 patients were aesthetically satisfied during postoperative follow-up, with only five patients reporting postoperative complications: swelling, hydrops, and transient facial palsy.
The endoscopic transoral approach to accessory parotid tumors avoids external facial scars and offers good aesthetic outcomes.
经口内镜切除术是腮腺副肿瘤的一种更新的治疗方法。本研究的目的是介绍内镜经口切除腮腺副肿瘤的手术技术和临床结果。
在PubMed、中国知网（CNKI）和科学网数据库中搜索关于内镜经口治疗腮腺副肿瘤的文章。提取这些文章中的患者信息，并与我们治疗的患者数据一起进行回顾性分析。通过一个经典病例详细报告该手术过程。
通过数据库检索共识别出119篇文章，其中7篇纳入最终分析，为30例患者提供了医学信息。此外，2022年1月至2024年4月在四川大学华西口腔医院和厦门大学附属第一医院进行了10例内镜经口手术。男性患者5例，女性患者5例，平均年龄42.50±15.56岁。平均手术时间为54.70±7.73分钟。病变直径为1至3厘米，平均为1.90±0.57厘米。大多数患者被诊断为多形性腺瘤。1例患者术中冰冻活检诊断为黏液表皮样癌，改用传统标准S形切口行腮腺全叶切除术。40例患者术后随访均对美观满意，仅5例患者报告有术后并发症：肿胀、积液和短暂性面瘫。
内镜经口治疗腮腺副肿瘤可避免面部外部瘢痕，美观效果良好。
