保留浅叶的腮腺深叶良性肿瘤切除术临床分析

李烁; 张小萌; 高春生; 杜政德; 杨琼; 刘飞

doi:10.13201/j.issn.1001-1781.2015.15.010

保留浅叶的腮腺深叶良性肿瘤切除术临床分析

- 1 广东医学院附属深圳南山医院耳鼻咽喉科(广东深圳, 518052);
- 2 华中科技大学同济医学院附属协和医院耳鼻咽喉科
基金项目:
湖北省自然科学基金资助(No:2012FFB02311)

详细信息

通讯作者: 张小萌,E-mail:zhangxiaomeng418@hotmail.com

中图分类号: R739.62

收稿日期: 2014-05-17

A retrospective study on deep lobe tumor parotidectomy with preservation of the superficial lobe

- 1 Department of Otolaryngology, Nanshan Affiliated Hospital of Guangdong Medical College, Shenzhen, 518052, China;
- 2 Department of Otolaryngology, Union Hospital, Huazhong University of Science and Technology

More Information

Corresponding author: ZHANG Xiaomeng, E-mail: zhangxiaomeng418@hotmail.com

Received Date: 17 May 2014

摘要

摘要: 目的:探讨保留浅叶的腮腺深叶良性肿瘤切除术的临床应用价值。方法:回顾性分析11例腮腺深叶良性肿瘤患者的临床资料,对术后肿瘤复发率及面瘫、味觉出汗综合征、耳垂麻木感和涎瘘等并发症进行总结分析。结果:所有患者随访1~3年,肿瘤无复发。其中2例出现耳垂区麻木感,1例出现涎瘘,1例出现暂时性面瘫,无一例出现口干、味觉出汗综合征、腮腺区凹陷畸形及永久性面瘫等并发症。结论:保留腮腺浅叶的术式治疗腮腺深叶良性肿瘤可以保证肿瘤根治,同时降低口干、味觉出汗综合征、暂时性面瘫和耳垂麻木感的发生率,改善术后面部凹陷畸形,较大限度地保留腮腺功能,具有一定的临床意义。
- 腮腺浅叶 /
- 味觉出汗综合征 /
- 腮腺肿瘤 /
- 腮腺深叶
Abstract: Objective: To study our experiences on deep lobe tumor parotidectomy with preservation of the superficial lobe of the parotid gland.Method: Eleven cases of benign tumor in the deep lobe of the parotid gland were analyzed restrospectively. Tumour recurrence,Frey's syndrome, paralysis of facial nerve, salivary fistula, dry mouth and feeling around the auricular lobule were evaluated.Result: Numbness around the auricular lobule appeared in 2 cases and salivary fistula appeared in 1 case, transient facial paralysis in 1 case. There were no patients appeared Frey's syndrome, dry mouth,permanent facial paralysis and recurrence in the 1-3 years followed up time.Conclusion: Deep lobe tumor parotidectomy with preservation of the superficial lobe improves the cosmetics and the feeling around the auricular lobule, reduces the incidence rate of Frey's syndrome, facial paralysis and dry mouth.
- superficial lobe of the parotid gland /
- Frey′s syndrome /
- parotid neoplasms /
- deep lobe of the parotid gland

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