腮腺唾液腺癌手术、面神经重建及辅助放疗患者面神经功能及生存率分析

IF 0.1 Q4 SURGERY
W. Bernaola-Paredes, Franco Novelli, Estefani Albuja-Rivadeneira, A. Flosi, Anna Victoria Garbelini Ribeiro, H. Nogueira, H. F. Köhler, C. Pinto, K. A. Vallejo-Rosero, A. Pellizzon
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引用次数: 0

摘要

背景和目的:腮腺癌(PC)手术治疗时,可能会对面神经功能造成损害。放射治疗在恢复面部运动中的作用仍有争议。本研究旨在评估放射治疗(RT)对腮腺切除术和面神经显微外科重建患者面神经功能的影响。材料与方法:分为四组患者:(a)行腮腺切除术,不进行面神经重建和RT;(b)行神经重建,未行RT者;(c)未进行神经重建和RT的;结果:男性49例,女性43例。89例接受腮腺切除术,45例部分切除,44例全部切除。因此,在9例患者中,腓肠神经被用于显微外科重建。此外,经House-Brackmann (HB)量表评估,48例患者面部模式正常,15例患者感觉异常,29例患者永久性瘫痪。结论:应用House-Brackmann评分法评价腮腺切除术后神经功能是评价腮腺切除术后已经下降的面部运动的一种可行方法。最后,必须进行纵向研究,以阐明每种治疗在多模式入路中的作用及其对面神经功能的临床影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Analysis of Facial Nerve Functionality and Survival Rates of Patients with Parotid Salivary Gland Carcinoma Submitted to Surgery, Facial Nerve Reconstruction, and Adjuvant Radiotherapy
Background and Objectives: Parotid cancer (PC), when treated surgically, may have associated damage to the functionality of the facial nerve. The role of radiotherapy in the recovery of facial motricity remains controversial. This study aimed to evaluate the impact of radiotherapy (RT) on facial nerve functionality in patients who underwent parotidectomy and facial nerve microsurgical reconstruction. Materials and Methods: Four groups of patients were composed: (a) those who underwent parotidectomy without facial nerve reconstruction and RT; (b) those with nerve reconstruction and without RT; (c) those without nerve reconstruction and RT; and (d) those with nerve reconstruction and RT. Results: 49 patients were male, and 43 were female. A total of 89 underwent parotidectomy, 45 partials, and 44 total. Thus, in nine patients, the sural nerve was used for microsurgical reconstruction. Moreover, 48 patients had a normal facial pattern, 15 with paresthesia, and 29 with permanent paralyses after the House–Brackmann (HB) scale evaluation. Conclusions: The evaluation of nerve functionality after parotidectomy by the House–Brackmann scale is a feasible way to evaluate facial motricity that has already decreased in these patients. Finally, longitudinal studies must be performed to clarify the role of each therapy in the multimodal approach and their clinical impact in facial nerve function.
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