이하선 양성종양에서 제한적 부분 이하선 절제술의 유용성
Role of Limited Partial Parotidectomy in the Management of Benign Parotid Tumors
정성도, 안세영, 박병건, 이상준, 정필상,
소속 상세정보
정성도 ( Jung Sung-Do )
단국대학교 의과대학 이비인후과학교실
안세영 ( An Se-Young )
단국대학교 의과대학 이비인후과학교실
박병건 ( Park Byung-Keon )
건양대학교 의과대학 이비인후과학교실
이상준 ( Lee Sang-joon )
단국대학교 의과대학 이비인후과학교실
정필상 ( Jung Phil-sang )
단국대학교 의과대학 이비인후과학교실
KMID : 0356820110270010054
Abstract
Objectives : There are many reports on attempts to minimize complications and recurrences of tumor by several techniques for benign parotid tumor resection. The purpose of our study is to find out meaning of procedure without identifying main trunk of facial nerve compared to conventional parotidectomy.
Material and Methods : We classified 121 patients into two groups. Patients who were underwent superficial parotidectomy or partial superficial parotidectomy were included in idenitification group(IF group), and patients who were treated with conservative partial parotidectomy or extracapsular dissection without identification of main trunk of facial nerve were included in the non-identification group(NF group). We analyzed the location of tumor, operation time, mean drainage duration, complication, recurrence and cosmetic satisfaction in two groups.
Results : NF group has shorter operation time and mean drainage duration than IF group, however there is no significant difference in complication and recurrence between two surgical techniques. The Cosmetic satisfaction was similar between two groups.
Conclusion : Limited parotidectomy without finding main trunk of facial nerve may be reliable option for benign parotid tumors because it has advantages such as less operation time and mean drainage duration without increasing in recurrence or complication rate.
키워드
이하선 절제술;피막외 절제술;이하선 종양
parotidectomy;extracapsular dissection;parotid tumors
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