经口内入路副腮腺良性肿瘤切除术5例报告

Clinical applications of benign tumor resection of accessory parotid gland through transoral approach:A report of 5 cases

目的:探讨经口内入路手术治疗副腮腺来源良性肿瘤的适应证、手术方法及疗效以提高诊疗水平。方法:回顾性分析上海交通大学医学院附属第九人民医院口腔颌面头颈-肿瘤科5例经口内入路切除副腮腺肿瘤病例的临床表现、影像学表现及治疗经过。结果:5例病例均经口内入路完整切除副腮腺区肿物。术后2周、3个月、6个月随访,患者口内创口内愈合良好,未出现腮腺导管损伤、面神经损伤症状。结论:经口内入路的副腮腺肿物切除术更适用于活动度大、边界清晰、与周围组织无粘连的良性肿瘤,其临床治疗效果良好,避免了面部切口瘢痕,美容效果好,患者满意度高。

Objective:To explore the indications,surgical methods,and curative effects of transoral resection of accessory parotid gland benign tumors,and to improve the level of diagnosis and treatment.Methods:The clinical features,imaging manifestations and treatment course of 5 patients diagnosed with accessory parotid gland tumor visited in the department of Oral and Maxillofacial-Head and Neck Oncology,Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine were retrospectively analyzed.Results:All the 5 cases underwent complete resection of the accessory parotid gland mass through transoral approach.Two weeks,3 months and 6 months follow-up indicated that the patient's intraoral wound healed well,and there were no symptoms of parotid duct injury or facial nerve injury.Conclusion:The transoral approach is more suitable for benign tumors with wide range of motion,clear boundary,and no adhesion to the surrounding tissue.The treatment effect is satisfactory and facial incision scar can be avoided.This operating method has good cosmetic effect and high patient satisfaction.