Essaadi M, Raji A, Janah A, Detsouli M, Kadiri F, Laraqui N Z, Touhami M, Moukrim B, Benghalem H, Chekkoury I A, Benchekroun Y
Hôpital 20 Août 1953, CHU IBN Rochd, Chef de Service d'O.R.L. et de Chirurgie Maxillo-Faciale, Casablanca, Maroc.
Rev Laryngol Otol Rhinol (Bord). 1998;119(3):177-82.
The treatment of the parotid tumors was clarified for a majority of the tumors, in spite of her histology diversity. The authors report in a retrospective study 120 cases of a parotid gland tumors during ten years over. They insist on the difficult of therapeutics, the histological diversity and the complications and sequelles of the surgery. The diagnosis was especially clinical and completed by scan and or a sialography. The superficial or total parotidectomy with preservation of facial nerve was realized in eighty-nine percent. The functional courage and the radiotherapy were associated respectively in eleven and seventeen patients. The histology was dominated by the benign tumors. The complications and sequelles were a facial paralysis definitive and a Frey's syndrome respectively in three percent cases. The ninety-seven percent patients were controlled with a mean follow up of three years. After results we must know every histologic type for to adapt his treatment. And the same complications and the sequelles were noted in all surgery type.
尽管腮腺肿瘤组织学多样,但大多数肿瘤的治疗方法已明确。作者在一项回顾性研究中报告了10年间120例腮腺肿瘤病例。他们强调了治疗的困难、组织学多样性以及手术的并发症和后遗症。诊断主要依靠临床检查,并通过扫描和/或涎管造影来完善。89%的患者实施了保留面神经的浅叶或全腮腺切除术。分别有11例和17例患者联合了功能性鼓室成形术和放射治疗。组织学上以良性肿瘤为主。3%的病例分别出现了永久性面瘫和味觉出汗综合征等并发症和后遗症。97%的患者得到了控制,平均随访3年。根据结果,我们必须了解每种组织学类型以便调整治疗方案。并且在所有手术类型中都观察到了相同的并发症和后遗症。