Selective Deep-Lobe Parotidectomy for Benign Parotid Gland Tumors.

IF 0.7 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Nigerian Journal of Clinical Practice Pub Date : 2024-11-01 Epub Date: 2024-12-04 DOI:10.4103/njcp.njcp_338_24
A Bayram, A Ş Genç, S Altıparmak, A Kaya, F Şenel
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引用次数: 0

Abstract

Background: Deep-lobe tumors have been shown to possess a significantly thicker capsule with less tumor penetration compared to superficial tumors. Thus, more conservative surgical approaches, rather than aggressive methods, have been proposed for treating benign deep-lobe tumors of the parotid gland.

Aim: To evaluate the surgical outcomes and oncological safety of selective deep-lobe parotidectomy (SDLP) in patients with benign lesions located in the deep lobe of the parotid gland.

Methods: Twenty-two patients who underwent SDLP were enrolled in the study. Data on age, sex, tumor size, hospitalization duration, recurrence, cosmetic outcomes, and complications-including facial nerve (FN) impairment, Frey's syndrome (FS), sialocele, first-bite syndrome (FBS), wound infection, hematoma, and seroma -were retrospectively evaluated from hospital records. Facial contour symmetry was rated by each patient using a 0-10 VAS score at least six months post-surgery.

Results: Final histopathological examination revealed that the most common tumor was pleomorphic adenoma (PA) (59.1%). Three patients (13%) experienced temporary paralysis of the marginal branch of the FN, with a House-Brackman Grade III, which resolved spontaneously within two months post-surgery. No cases of permanent FN paralysis, FS, FBS, or sialocele were observed in any patients. The mean VAS score for facial contour symmetry was 9.43 ± 0.78. No recurrence were noted in any patients over a median follow-up period of 71.7 ± 21.2 months.

Conclusion: SDLP may facilitate the safe surgical removal of benign lesions located in the deep lobe of the parotid gland, with oncological safety, reduced complication rates, and improved cosmetic outcomes.

选择性腮腺深叶切除术治疗良性腮腺肿瘤。
背景:与浅表肿瘤相比,深叶肿瘤具有明显较厚的囊层,肿瘤穿透较少。因此,更保守的手术方法,而不是积极的方法,已提出治疗良性腮腺深叶肿瘤。目的:评价选择性腮腺深叶切除术(SDLP)治疗腮腺深叶良性病变的手术效果及肿瘤安全性。方法:22例接受SDLP的患者入组研究。年龄、性别、肿瘤大小、住院时间、复发、美容结果和并发症(包括面神经(FN)损伤、弗雷综合征(FS)、涎腺囊肿、首次咬伤综合征(FBS)、伤口感染、血肿和血肿)的数据从医院记录中进行回顾性评估。每位患者在术后至少6个月使用0-10分的VAS评分对面部轮廓对称性进行评分。结果:最终组织病理学检查显示多形性腺瘤(PA)最常见(59.1%)。三名患者(13%)经历了FN边缘分支的暂时性瘫痪,House-Brackman分级为III级,在术后两个月内自行消退。在任何患者中均未观察到永久性FN麻痹、FS、FBS或涎腺囊肿。面部轮廓对称的平均VAS评分为9.43±0.78。中位随访时间为71.7±21.2个月,无复发。结论:SDLP可促进腮腺深叶良性病变的安全手术切除,具有肿瘤安全性,减少并发症发生率,改善美容效果。
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来源期刊
Nigerian Journal of Clinical Practice
Nigerian Journal of Clinical Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
1.40
自引率
0.00%
发文量
275
审稿时长
4-8 weeks
期刊介绍: The Nigerian Journal of Clinical Practice is a Monthly peer-reviewed international journal published by the Medical and Dental Consultants’ Association of Nigeria. The journal’s full text is available online at www.njcponline.com. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal makes a token charge for submission, processing and publication of manuscripts including color reproduction of photographs.
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