Smith W P, Peters W J, Markus A F
Department of Oral and Maxillofacial Surgery, Poole General Hospital, Dorset.
Ann R Coll Surg Engl. 1993 May;75(3):164-7.
A series of 86 patients who underwent submandibular gland surgery were reviewed retrospectively. Of the 92 glands excised, non-neoplastic disease accounted for 96% of cases. Preoperative clinical findings were inconsistent such that early surgery should be considered for an enlarged non-tender submandibular gland. The incidence of temporary paresis of the lower branches of the facial nerve was 36% with full recovery, on average, 4 months after surgery. The low 'non-identification' approach to the submandibular gland appears to be the technique which offers the least likelihood of permanent damage to the lower branches of the facial nerve.
回顾性分析了86例接受下颌下腺手术的患者。在切除的92个腺体中，非肿瘤性疾病占病例的96%。术前临床表现不一致，因此对于肿大且无压痛的下颌下腺应考虑早期手术。面神经下颌缘支暂时性麻痹的发生率为36%，平均在术后4个月完全恢复。下颌下腺的低位“不识别”入路似乎是对面神经下颌缘支造成永久性损伤可能性最小的技术。
