病例系列-腮腺肿瘤囊外解剖综述

D. T., R. A., Mahesh Sg, Devan Pp, Bhandary R, P. V
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引用次数: 1

摘要

由于没有进行面神经解剖,所以外膜剥离术(ECD)与传统的腮腺肿瘤手术方法有明显的不同。支持这种方法的因素包括肿瘤在腺体内的可移动性,包膜和腺体组织的薄覆盖,肿瘤足够大,可以在解剖过程中进行数字操作。影像学检查、细针穿刺细胞学检查和神经元监测在ECD中发挥着重要作用[1]。本文的目的是报告几种类型腮腺肿瘤的囊外剥离手术治疗的病例系列,并评估手术技术ECD治疗腮腺肿瘤后的长期效果。本院共收治30例腮腺肿瘤,包括沃辛瘤、多形性腺瘤、腮腺乳头状腺瘤、慢性涎腺炎、腮腺囊腺瘤等5种不同类型的腮腺肿瘤。本研究所有患者均接受适当的手术治疗(ECD),并每月随访评估。如果选择得当,囊外剥离术是一种安全、可靠、值得推荐的治疗腮腺浅表小良性肿瘤的方法。
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Case Series-An Overview of Extracapsular Dissection of Parotid Tumours
Extra Capsular Dissection (ECD) differs markedly from classic surgical approaches to the parotid neoplasm because facial nerve dissection is not performed. Factors noted to favor this approach include mobility of the tumor within the gland, a thin covering of capsule and glandular tissue, and a tumor large enough to allow digital manipulation during dissection. Imaging, fine needle aspiration cytology, and neuron-monitoring play a heightened role in ECD [1]. The AIM of this article is to report case series on surgical management of few types of parotid tumors by extra capsular dissection and to assess longterm results after the treatment of Parotid tumors using surgical technique ECD. This case series includes five different parotid tumors such as Warthin’s tumor, Pleomorphic adenoma, Sialadenoma papilliferum of parotid, chronic sialoadenitis, Parotid cystadenoma, out of 30 cases operated in our hospital. All the patients in this study received appropriate surgical treatment (ECD) and done a follow up evaluation every month. Extra capsular dissection is a safe, reliable and recommended technique to manage the small benign superficial parotid tumors if the case is selected properly.
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