Lacosta J L, Zabaleta M, Infante J C
Servicio de ORL, Hospital San Millán, Logroño.
Acta Otorrinolaringol Esp. 1997 Nov-Dec;48(8):653-7.
The records of 27 patients operated for parotid tumors were reviewed retrospectively. Pleomorphic adenoma was the most frequent tumor (37.1%) and required subtotal parotidectomy in all cases. Twenty percent presented permanent facial paralysis of the marginal mandibular branch. No recurrence has been observed in five years of follow-up. Warthin's tumor, found in 11.1% of patients, was removed by either superficial or subtotal parotidectomy. Parotidean cysts were observed in 7.4% and were excised by superficial parotidectomy. The malignant tumors included squamous cell carcinoma (22.2%), adenoid cystic carcinoma (14.8%), melanoma (3.7%), and renal-cell metastasis (3.7%). All were treated by total parotidectomy with conservation of the facial nerve in 67%. Twenty-five percent had postoperative facial paralysis and 33% developed Frey's syndrome. Thirty-three percent died in the next 5 years from locoregional metastases.
对27例接受腮腺肿瘤手术的患者记录进行回顾性分析。多形性腺瘤是最常见的肿瘤（37.1%），所有病例均需行腮腺次全切除术。20%出现下颌缘支永久性面瘫。随访5年未观察到复发。11.1%的患者发现沃辛瘤，通过浅叶或次全腮腺切除术切除。7.4%观察到腮腺囊肿，通过浅叶腮腺切除术切除。恶性肿瘤包括鳞状细胞癌（22.2%）、腺样囊性癌（14.8%）、黑色素瘤（3.7%）和肾细胞转移瘤（3.7%）。67%的患者均接受保留面神经的全腮腺切除术治疗。25%有术后面瘫，33%出现味觉出汗综合征。33%在接下来的5年中死于局部区域转移。
