Gudziol H
Klinikum der Friedrich-Schiller-Universität Jena.
Ther Umsch. 1995 Nov;52(11):774-9.
Only about 1% of head and neck tumors are neoplasms of the salivary glands. The majority [80%] of these tumors are benign. Pleomorphic adenomas, the most frequent benign tumors of the salivary glands, can transform into malignancy, especially after a long duration. Treatment of salivary gland tumors consists of complete surgical excision by a surgeon experienced in microsurgery of the facial nerve. Acute suppurative and viral sialadenitis is usually treated by the general practitioner either symptomatically or, if possible, specifically. Chronic sialadenitis, sialadenosis, Sjögren's syndrome, and Frey's syndrome often need long-term follow-up and medical treatment, which is also usually delivered by the general practitioner, after the diagnosis has been established. Trauma to the salivary gland with transsection of the duct or facial nerve needs immediate microsurgical repair by an otolaryngologist. Sialolithiasis is also treated surgically in most cases.
仅约1%的头颈部肿瘤是唾液腺肿瘤。这些肿瘤中的大多数（80%）是良性的。多形性腺瘤是唾液腺最常见的良性肿瘤，可发生恶变，尤其是在病程较长之后。唾液腺肿瘤的治疗包括由面神经显微手术经验丰富的外科医生进行完整的手术切除。急性化脓性和病毒性涎腺炎通常由全科医生进行对症治疗，或在可能的情况下进行特异性治疗。慢性涎腺炎、涎腺肿大、干燥综合征和弗雷综合征通常需要长期随访和药物治疗，在确诊后通常也由全科医生进行。唾液腺伴有导管或面神经横断的创伤需要耳鼻喉科医生立即进行显微手术修复。大多数情况下，涎石病也通过手术治疗。
