Martis C
Int J Oral Surg. 1983 Aug;12(4):211-20. doi: 10.1016/s0300-9785(83)80045-3.
263 patients with benign parotid gland tumors have been operated upon, from 1970 through 1980. Of this total number of tumors, according to their histopathologic examination, 185 corresponded to pleomorphic adenoma, 24 to Warthin's tumor, 10 to recurrent pleomorphic adenomas (at first operated on elsewhere) and 44 to miscellaneous tumors or tumor-like lesions (simple cyst, lymphoepithelial lesion, branchial cleft cysts, lymph node hyperplasia etc.). 25 cases of pleomorphic adenoma, operated on during the past 24 months, were not evaluated as far as recurrence is concerned, because their follow-up was insufficiently long. The operative procedures used by us for pleomorphic adenoma surgery were: (a) pericapsular (extracapsular) excision, with a margin of normal parotid gland tissue without preparation of the fascial nerve, for 98 small size and superficially sited pleomorphic adenomas (52.6%); (b) subtotal parotidectomy (superficial lobectomy) with preparation of the facial nerve for 78 tumors (42.5%); (c) total parotidectomy with preservation of the nerve for 9 tumors located on the deep lobe of the gland (4.9%). We did not see any permanent facial palsy, and not one case of recurrence.
1970年至1980年期间，263例腮腺良性肿瘤患者接受了手术治疗。在这些肿瘤总数中，根据组织病理学检查，185例为多形性腺瘤，24例为沃辛瘤，10例为复发性多形性腺瘤（最初在其他地方接受手术），44例为其他肿瘤或肿瘤样病变（单纯囊肿、淋巴上皮病变、鳃裂囊肿、淋巴结增生等）。过去24个月内接受手术的25例多形性腺瘤患者，由于随访时间不够长，就复发情况而言未作评估。我们用于多形性腺瘤手术的操作方法如下：(a) 对于98例体积小且位置表浅的多形性腺瘤（52.6%），采用包膜外（囊外）切除，保留腮腺正常组织边缘，不解剖面神经；(b) 对于78例肿瘤（42.5%），行腮腺次全切除术（浅叶切除术）并解剖面神经；(c) 对于9例位于腮腺深叶的肿瘤（4.9%），行全腮腺切除术并保留面神经。我们未观察到任何永久性面瘫，也没有一例复发。
