Van Hee R, Misset M, Ysebaert D, Van de Heyning P, Koekelkoren E, Claes L, Van Laer C, Peeters L, Hintjens J, Van Elst F, Van Marck E, Bultinck J
Department of Surgery, University Hospital, Antwerpen, Belgium.
Acta Chir Belg. 1996 Jul-Aug;96(4):161-4.
In this multicentre retrospective study 30 patients with benign salivary gland tumours are reviewed. Initial operation consisted of total parotidectomy in 6 patients, superficial lobectomy in 13 and tumour enucleation in 11. There were 5 recurrences, treated by enucleation in 1, superficial lobectomy in 2 and extensive total resection in 2 patients. In 18 cases a typical facial nerve dissection was performed. The resected specimens showed a pleiomorph adenoma in 24 cases and monomorph adenoma's in 6 cases. Complications were haematoma formation, Frey syndrome and facial nerve paresis. Recurrences were related to incomplete resection or fragmentation during operation. In this study benign tumours of the salivary glands proved to have a good prognosis, provided a total tumour excision with nerve dissection is performed; the excision should consist of a superficial lobectomy or total parotidectomy depending on the location of the tumour in the lateral or medial part of the gland.
在这项多中心回顾性研究中，对30例涎腺良性肿瘤患者进行了评估。初次手术包括6例行全腮腺切除术，13例行浅叶切除术，11例行肿瘤摘除术。有5例复发，其中1例行肿瘤摘除术，2例行浅叶切除术，2例行广泛全切除术。18例患者进行了典型的面神经解剖。切除标本显示多形性腺瘤24例，单形性腺瘤6例。并发症包括血肿形成、味觉出汗综合征和面神经麻痹。复发与手术切除不完全或术中肿瘤破碎有关。在本研究中，涎腺良性肿瘤若能进行完整肿瘤切除并联合神经解剖，预后良好；切除方式应根据肿瘤位于腺体外侧或内侧的位置，选择浅叶切除术或全腮腺切除术。
