Yamashita T, Tomoda K, Kumazawa T
Department of Otolaryngology, Kansai Medical University, Osaka, Japan.
Acta Otolaryngol Suppl. 1993;500:113-6. doi: 10.3109/00016489309126192.
This retrospective study concerns benign parotid gland tumors in 306 Japanese patients who were treated by partial parotidectomy with preservation of the facial nerve. There were no recurrences in 112 with a pleomorphic adenoma in over a 5-year follow-up. Facial weakness and temporal paresis occurred in 18% of 232 patients and Frey's syndrome in 18% of 93 with longer than a 3-year follow-up. In comparison with reported results of lateral or superficial parotidectomy, partial parotidectomy with preservation of the facial nerve seems preferable for treatment of patients with a benign parotid gland tumor.
这项回顾性研究涉及306例接受保留面神经的腮腺部分切除术治疗的日本良性腮腺肿瘤患者。112例多形性腺瘤患者在超过5年的随访中无复发。在232例患者中,18%出现面部无力和颞肌麻痹,在93例随访超过3年的患者中,18%出现味觉出汗综合征。与报道的腮腺外侧或浅叶切除术结果相比,保留面神经的腮腺部分切除术似乎更适合治疗良性腮腺肿瘤患者。