Research on the effect and complications of improved surgical treatment for parotid benign tumors_West China Medical Journal

Authors：

 SUN Deping

Department of Otolaryngology-Head and Neck Surgery, Dachuanqu People’s Hospital, Dazhou, Sichuan 635000, P. R. China;

Corresponding?author：

SUN Deping, Email: 562777060@qq.com

Keywords：

Benign parotid tumor; Surgery; Improved; Facial paralysis; Fery’s syndrome; Salivary fistula

DOI：

10.7507/1002-0179.201602057

Video：

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Objective To evaluate the therapeutic effect and complications of modified surgical treatment for parotid benign tumors. Methods Forty-nine patients with parotid tumors treated between February 2007 and February 2013 were randomly divided improved surgery group (trial group,n=24) and traditional surgery group (control group,n=25). Follow-up lasted from two months to two years after surgery. Postoperative complications (facial paralysis, Fery’s syndrome, local deformity, and salivary fistula) and recurrence were observed and compared between the two groups. Results All the 49 patients were followed up from two months to one year after surgery. Two years after surgery, three patients in the trial group and four in the control group were missing during the follow-up. No recurrence occurred in all the patients. There were no permanent facial paralysis cases in both groups. No temporary facial paralysis occurred in the trial group, while there were five such cases in the control group with an incidence rate of 20.0%. The trial group had one case of Fery’s syndrome with an incidence rate of 4.2%, and the control group had 4 such cases with an incidence rate of 16.0%. After surgery, the 24 patients in the trail group achieved general facial symmetry without any facial depression deformity, while there were 3 cases of mild facial depression and 1 obvious facial depression in the control group with an incidence rate of 16.0%. Five patients in the control group had saliva fistula with an incidence rate of 24.0% while one in the trail group (4.2%). The differences in the total rate of complications occurrence between the two groups were statistically significant (P<0.05). Conclusion The improved surgical treatment can effectively reduce complications after surgery for parotid benign tumors, which is worthy of clinical promotion.

Citation： SUN Deping. Research on the effect and complications of improved surgical treatment for parotid benign tumors. West China Medical Journal, 2017, 32(4): 541-544. doi: 10.7507/1002-0179.201602057 Copy

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11.	徐曉剛, 周中華, 王悅. 插補鄰近組織瓣預防腮腺切除后味覺出汗綜合征. 口腔頜面外科雜志, 2002, 12(3): 244-245.
12.	周瑜, 葉茂昌, 王來平, 等. 口腔修復膜和胸鎖乳突肌瓣在腮腺切除術中的應用. 臨床口腔醫學雜志, 2013, 29(6): 360-362.
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1. ?馬大權. 腮腺腫瘤治療探討. 中華口腔醫學雜志, 2003, 38(2): 151-152.
2. Mcgurk M, Renehan A. Controversies in the management of salivary gland diseases. New York: Oxford University Press, 2001: 103.
3. Yu GY, Ma DQ, Liu XB,et al. Local excision of the parotid gland in the treatment of Warthin’s tumour. Br J Oral Maxillofac Surg, 1998, 36(3): 186-189.
4. 馬大權. 涎腺疾病. 北京: 人民衛生出版社, 2002: 306.
5. 高燕, 李文, 易雪蓮, 等. 腮腺腫瘤術中保留耳大神經分支的臨床分析. 華西醫學, 2015, 30(1): 100-101.
6. 邱蔚六. 口腔頜面外科學. 5版. 北京: 人民衛生出版社, 2003: 295-299.
7. 溫玉明, 陳潤良, 王昌美. 腮腺多形性腺瘤腺體切除范圍的病理依據. 華西口腔醫學雜志, 2003, 21(5): 359-360.
8. 俞光巖. 腮腺切除術中的面神經處理. 口腔頜面外科雜志, 2006, 16(1): 1.
9. 王笑茹, 張旭, 霍峰, 等. 腮腺切除術解剖面神經所致面神經核超微結構的病理變化. 實用口腔醫學雜志, 2009, 25(5): 617-620.
10. 喻秀麗, 楊凱, 張福軍, 等. 兩種保留 SMAS 術式對腮腺腫瘤術后復發和預防 Frey 綜合征的對比研究. 重慶醫科大學學報, 2011, 36(10): 1259-1261.
11. 徐曉剛, 周中華, 王悅. 插補鄰近組織瓣預防腮腺切除后味覺出汗綜合征. 口腔頜面外科雜志, 2002, 12(3): 244-245.
12. 周瑜, 葉茂昌, 王來平, 等. 口腔修復膜和胸鎖乳突肌瓣在腮腺切除術中的應用. 臨床口腔醫學雜志, 2013, 29(6): 360-362.
13. 周竹云, 左金華, 吳淑華, 等. 腮腺主導管結扎后腺體的組織改變. 中外醫療, 2011, 30(16): 19-20.
14. 張洪靜, 魏懿, 鄧開鴻, 等. 腮腺結核病的 CT 表現. 華西醫學, 2014, 29(11): 2081-2084.
15. 金亞, 彭玉蘭, 趙海娜, 等. 正常成人腮腺和頜下腺實時剪切波彈性成像的初步研究. 華西醫學, 2015, 30(4): 692-695.

West China Medical Journal

Research on the effect and complications of improved surgical treatment for parotid benign tumors

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