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面神经麻痹作为腮腺手术的并发症及其预防

Facial nerve palsy as a complication of parotid gland surgery and its prevention.

作者信息

Watanabe Y, Ishikawa M, Shojaku H, Mizukoshi K

机构信息

Department of Otolaryngology, Toyama Medical and Pharmaceutical University, Japan.

出版信息

Acta Otolaryngol Suppl. 1993;504:137-9. doi: 10.3109/00016489309128140.

DOI:10.3109/00016489309128140
PMID:8385873
Abstract

The incidence of postoperative facial palsy in 73 patients who had under-gone surgery for parotid gland tumor is reported. Slight facial palsy occurred in 9 (14%) of 66 benign tumors but recovered completely within 3 months following surgery. However, in 7 patients with malignant tumors, 3 (43%) developed permanent palsy and 1 (14%) temporary palsy. The incidence of benign tumors depends on the tumor size and localization. However, the incidence decreased considerably in the last 6 years compared to the first 6 years. This is considered to be due to routine use of computed tomography with sialography and microsurgery during parotidectomy.

摘要

报告了73例接受腮腺肿瘤手术患者的术后面瘫发生率。66例良性肿瘤患者中有9例(14%)出现轻度面瘫,但术后3个月内完全恢复。然而,7例恶性肿瘤患者中,3例(43%)出现永久性面瘫,1例(14%)出现暂时性面瘫。良性肿瘤的发生率取决于肿瘤大小和位置。然而,与前6年相比,最近6年的发生率大幅下降。这被认为是由于腮腺切除术中常规使用计算机断层扫描唾液造影术和显微手术所致。

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Facial nerve palsy as a complication of parotid gland surgery and its prevention.面神经麻痹作为腮腺手术的并发症及其预防
Acta Otolaryngol Suppl. 1993;504:137-9. doi: 10.3109/00016489309128140.
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Facial nerve function in 100 consecutive parotidectomies.连续100例腮腺切除术患者的面神经功能
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Incidence of postoperative facial weakness in parotid tumor surgery: a tumor subsite analysis of 794 parotidectomies.腮腺肿瘤手术术后面部神经麻痹的发生率:794例腮腺切除术的肿瘤亚部位分析
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Facial nerve dysfunction after superficial parotidectomy with or without continuous intraoperative electromyographic neuromonitoring: a prospective randomized pilot study.
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Eur Arch Otorhinolaryngol. 2018 Nov;275(11):2861-2868. doi: 10.1007/s00405-018-5130-1. Epub 2018 Sep 19.
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Gland Surg. 2017 Aug;6(4):308-314. doi: 10.21037/gs.2017.03.12.
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Endoscope-assisted partial-superficial parotidectomy through a concealed postauricular skin incision.经耳后隐蔽皮肤切口的内镜辅助腮腺部分浅叶切除术
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Landmarks of the facial nerve: implications for parotidectomy.面神经的标志:对腮腺切除术的意义。
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An audit of surgery of the parotid gland.腮腺手术审计
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