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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Limited parotidectomy: the role of extracapsular dissection in parotid gland neoplasms.
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Limited parotidectomy: the role of extracapsular dissection in parotid gland neoplasms.

机译：腮腺有限切除术：囊外剥离在腮腺肿瘤中的作用。

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OBJECTIVE: Surgical techniques for parotid gland neoplasm removal have been shaped over the years by the importance of the gland's relationship with the facial nerve, histologic behavior of parotid tumors, and recurrence rates from specific techniques. Parotidectomy with facial nerve dissection has become the procedure of choice in removal of parotid gland neoplasms because of the resulting low recurrence rate. However, these more comprehensive dissections can cause significant postoperative complications, some cosmetically devastating. We propose that a more limited dissection yields a similar low recurrence rate but with less risk of complications. STUDY DESIGN: Retrospective case series. METHODS: A retrospective review of the clinical outcomes and pathology of 27 patients who underwent extracapsular dissection for parotid gland neoplasms. RESULTS: All tumors were located in the superficial lobe of the parotid gland and size of the masses ranged from 4.0 to 1.0 cm (mean 2.4 cm) in diameter. Pathologyof the parotid tumors consisted of 11 pleomorphic adenomas, six Warthin's tumors, six benign epithelial cysts, one sarcoid lesion, two lymphoid hyperplasia, and one Kaposi's sarcoma. There were no cases of capsular rupture. There was no temporary or permanent facial paralysis and no incidence of Frey's syndrome. One patient developed a sialocele, which was aspirated and resolved after 3 months. There were no recurrences with follow-up times between 5 months and 6 years (mean 41 mo). CONCLUSION: We advocate extracapsular dissection for benign parotid neoplasms because of the acceptable recurrence rates with limited complications as compared to superficial parotidectomy.
机译：目的：多年来，由于腮腺与面神经的关系，腮腺肿瘤的组织学行为以及特定技术的复发率的重要性，影响了腮腺肿瘤切除的外科手术技术的发展。面神经解剖的腮腺切除术已成为切除腮腺肿瘤的首选方法，因为其复发率较低。但是，这些更全面的解剖可能会导致严重的术后并发症，甚至在美容上造成破坏。我们建议更有限的解剖产生类似的低复发率，但并发症风险较低。研究设计：回顾性病例系列。方法：回顾性分析27例因腮腺肿瘤行囊外解剖的患者的临床结局和病理。结果：所有肿瘤均位于腮腺浅叶，肿块直径在4.0至1.0 cm（平均2.4 cm）之间。腮腺肿瘤的病理学包括11个多形性腺瘤，6个Warthin瘤，6个良性上皮囊肿，1个肉瘤病变，2个淋巴样增生和1个Kaposi肉瘤。没有囊破裂的情况。没有暂时或永久性面瘫，也没有Frey综合征的发生。一名患者出现唾液突出，三个月后被吸出并消退。随访时间在5个月至6年之间（平均41个月），无复发。结论：我们提倡对良性腮腺肿瘤进行囊外剥离，因为与浅表腮腺切除术相比，复发率可以接受且并发症有限。

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