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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1. 马大权. 腮腺肿瘤治疗探讨. 中华口腔医学杂志, 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. 马大权. 涎腺疾病. 北京: 人民卫生出版社, 2002: 306.
5. 高燕, 李文, 易雪莲, 等. 腮腺肿瘤术中保留耳大神经分支的临床分析. 华西医学, 2015, 30(1): 100-101.
6. 邱蔚六. 口腔颌面外科学. 5版. 北京: 人民卫生出版社, 2003: 295-299.
7. 温玉明, 陈润良, 王昌美. 腮腺多形性腺瘤腺体切除范围的病理依据. 华西口腔医学杂志, 2003, 21(5): 359-360.
8. 俞光岩. 腮腺切除术中的面神经处理. 口腔颌面外科杂志, 2006, 16(1): 1.
9. 王笑茹, 张旭, 霍峰, 等. 腮腺切除术解剖面神经所致面神经核超微结构的病理变化. 实用口腔医学杂志, 2009, 25(5): 617-620.
10. 喻秀丽, 杨凯, 张福军, 等. 两种保留 SMAS 术式对腮腺肿瘤术后复发和预防 Frey 综合征的对比研究. 重庆医科大学学报, 2011, 36(10): 1259-1261.
11. 徐晓刚, 周中华, 王悦. 插补邻近组织瓣预防腮腺切除后味觉出汗综合征. 口腔颌面外科杂志, 2002, 12(3): 244-245.
12. 周瑜, 叶茂昌, 王来平, 等. 口腔修复膜和胸锁乳突肌瓣在腮腺切除术中的应用. 临床口腔医学杂志, 2013, 29(6): 360-362.
13. 周竹云, 左金华, 吴淑华, 等. 腮腺主导管结扎后腺体的组织改变. 中外医疗, 2011, 30(16): 19-20.
14. 张洪静, 魏懿, 邓开鸿, 等. 腮腺结核病的 CT 表现. 华西医学, 2014, 29(11): 2081-2084.
15. 金亚, 彭玉兰, 赵海娜, 等. 正常成人腮腺和颌下腺实时剪切波弹性成像的初步研究. 华西医学, 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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