Oral surgery, oral medicine, oral pathology and oral radiology · 2019
Extracapsular dissection via sternocleidomastoid muscle-parotid space approach-a new operative technique for treating clinically benign tumor in the parotid tail.
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Yang Rong, Guo Yuxing, Mao Chi, Guo Chuanbin, Wang Diancan
Аннотация
OBJECTIVE: The aim of this study was to introduce extracapsular dissection via the sternocleidomastoid muscle-parotid space approach (ECD-SMPSA) as a modified operative technique for removal of clinically benign tumors from the parotid tail.
STUDY DESIGN: The study included 52 patients with clinically benign tumors in the parotid tail, and the patients were divided into 2 groups: one group was treated with ECD-SMPSA and the other with extracapsular dissection (ECD). All of the patients were followed up for at least 2 years.
RESULTS: The ECD-SMPSA group had lower incidence of subjective Frey syndrome (P = .03) and higher satisfaction with the cosmetic result after the surgery (P = .023) compared with the ECD group. All of the patients were free of salivary fistulae. Facial palsy (P = .234) and earlobe numbness (P = .291) were not significantly different between the groups (P < .05).
CONCLUSIONS: With careful preoperative assessment, ECD-SMPSA may be a more suitable approach for the treatment of clinically benign tumors in the parotid tail.
STUDY DESIGN: The study included 52 patients with clinically benign tumors in the parotid tail, and the patients were divided into 2 groups: one group was treated with ECD-SMPSA and the other with extracapsular dissection (ECD). All of the patients were followed up for at least 2 years.
RESULTS: The ECD-SMPSA group had lower incidence of subjective Frey syndrome (P = .03) and higher satisfaction with the cosmetic result after the surgery (P = .023) compared with the ECD group. All of the patients were free of salivary fistulae. Facial palsy (P = .234) and earlobe numbness (P = .291) were not significantly different between the groups (P < .05).
CONCLUSIONS: With careful preoperative assessment, ECD-SMPSA may be a more suitable approach for the treatment of clinically benign tumors in the parotid tail.