副腮腺肿瘤手术的研究进展

Research progress in accessory parotid gland tumor surgery

肿瘤是副腮腺病变的最常见表现形式。目前,手术治疗是副腮腺肿瘤的主要治疗方法,虽然可选择的手术入路较多,但尚无统一方案。副腮腺位于面中颊部,传统治疗方式带来的并发症及美观问题常给患者造成诸多困扰。随着手术切除方式和切口设计均的不断改进,隐蔽的口内入路及内镜辅助下副腮腺肿瘤包膜外切除等更美观、微创的治疗逐步开展。本文将重点阐述已经开展的副腮腺肿瘤不同手术入路及其优缺点等,并基于内镜辅助下副腮腺肿瘤切除术的初步应用提出展望。

In salivary gland disease,accessory parotid gland(APG)lesions are relatively low,and tumor is the most common manifestation.Currently,surgery is the primary treatment method for APG tumors.Although numerous surgical procedures are available,there is no standard protocol.Due to the location of the APG in the midcheek area,the complications and aesthetic concerns connected with conventional surgery for treating APG tumors sometimes cause significant distress to patients.With the progress of medical technology as well as improving patients'aesthetic and functional requirements,surgical excision methods and incision design are constantly improving.More beautiful and minimally invasive treatments,such as concealed transoral approach and endoscopically aided extracapsular dissection of APG,have been gradually developed.This review focuses on surgical techniques,benefits,and drawbacks of APG tumor surgery that have been carried out and provides an outlook based on the preliminary application of endoscopically assisted accessory parotid tumor resection.