Work W P
J Otolaryngol. 1981 Feb;10(1):35-40.
The parotid glands are subject to many pathological disorders other than neoplastic diseases. This large group of disorders is classified for the parotid glands into infectious, metabolic and endocrine, traumatic, congenital, and acquired cystic diseases. The other major salivary glands also can be affected by many of these conditions. In recent years more and more patients have been examined and treated who have had diseases classified according to our concepts. Surgical procedures are now commonly recommended for these groups of patients not only for diagnosis but for treatment as well. The microscopic examination of permanently prepared, stained excised tissues still remains the final diagnostic procedure in most patients in spite of more recently developed diagnostic techniques. Further, the well trained surgeon of today is in a position to assure the patient that permanent injury to the facial nerve trunk or to its branches is only a remote possibility. Lastly, our medical and surgical experiences are discussed in the following groups of patients: those with acute suppurative sialadenitis, those with acute abscess, those with chronic obstructive and non-obstructive sialadenitis, those with traumatic lesions, those with congenital lesions, and those with acquired cystic lesions.
腮腺除了发生肿瘤性疾病外，还会出现许多其他病理紊乱。腮腺的这一大类紊乱可分为感染性、代谢性和内分泌性、创伤性、先天性以及后天性囊性疾病。其他主要唾液腺也可受其中许多病症影响。近年来，越来越多按照我们的概念分类患有疾病的患者接受了检查和治疗。现在，对于这些患者群体，手术程序不仅常用于诊断，也用于治疗。尽管最近开发了一些诊断技术，但对永久制备、染色的切除组织进行显微镜检查在大多数患者中仍然是最终的诊断程序。此外，如今训练有素的外科医生能够向患者保证，面神经主干或其分支受到永久性损伤的可能性微乎其微。最后，我们在以下几组患者中讨论了我们的医学和外科经验：急性化脓性涎腺炎患者、急性脓肿患者、慢性阻塞性和非阻塞性涎腺炎患者、创伤性病变患者、先天性病变患者以及后天性囊性病变患者。
