保留浅叶的腮腺深叶良性肿瘤切除术临床分析  

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

作　　者：李烁[1] 张小萌[2] 高春生[1] 杜政德[1] 杨琼[1] 刘飞[1] 

机构地区：[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

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第15期1360-1362,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：湖北省自然科学基金资助(No:2012FFB02311)

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。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 2cases and salivary fistula appeared in 1case,transient facial paralysis in 1case.There were no patients appeared Frey′s syndrome,dry mouth,permanent facial paralysis and recurrence in the 1-3years 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.

关 键 词：腮腺浅叶 味觉出汗综合征 腮腺肿瘤 腮腺深叶 

分 类 号：R739.62[医药卫生—肿瘤]