不同切口下腮腺浅叶肿瘤切除术对患者围术期临床指标、美观性及术后并发症的影响

目的探讨改良Blair切口和改良倒"V"形防皱切口下腮腺浅叶肿瘤切除术对患者围术期临床指标、美观性及术后并发症的影响。方法选取我院2013年1月～2017年5月收治行腮腺浅叶肿瘤切除术的患者共142例,以随机数字表法分为对照组(71例)和改良组(71例),分别在改良Blair切口(对照组)和改良倒"V"形防皱切口(改良组)下完成手术。比较2组患者手术时间、术中出血量、术后12个月美学VAS及术后并发症发生率。结果 2组患者手术时间和术中出血量比较差异无统计学意义(P> 0. 05);改良组患者术后12个月美学VAS显著高于对照组(P <0. 05); 2组患者术后暂时性面瘫、味觉性出汗综合征、耳周麻木及涎瘘复发率比较差异无统计学意义(P> 0. 05)。结论改良Blair切口和改良倒"V"形防皱切口下腮腺浅叶肿瘤切除术具有相近的操作难度、医源性创伤程度及安全性,但改良倒"V"形防皱切口下操作更有助于改善术后美观性,提高治疗依从性。     

Metastasizing “benign” pleomorphic salivary adenoma: A dramatic case-report and literature review

Pleomorphic salivary adenomas are the most common benign neoplasms affecting the salivary glands. Very occasionally however, metastatic lesions are identified in patients with a history of PSA, which, on detailed pathological evaluation, are found to exhibit all the histological hallmarks of the preceding benign lesions.Diagnosis of benign metastasizing pleomorphic adenoma of the salivary gland is extremely rare and still under debate.We present the first case-report in literature of multiple metachronous nasal cavity, scalp and encephalic metastases of a pleomorphic adenoma of the parotid gland in a young girl.     

Management of tumour spillage during parotid surgery for pleomorphic adenoma

Over the decades parotid surgery for benign tumours has developed into a reproducible, conservative operation with low morbidity. Despite the advances tumour spillage can still occur, and its management remains controversial. Since no universal consensus exists the aim of this article is to review the approach to tumour spillage and derive a protocol for its management based on existing evidence.     

腮腺肿瘤术中冰冻切片检查的临床分析

目的探讨腮腺肿瘤术中冰冻切片检查的临床效果。方法选取我院2012年1月~2014年3月72例腮腺肿瘤手术治疗患者,手术过程中实施冰冻切片检查,分析其临床效果。结果 快速冰冻检查恶性肿瘤敏感度为87.9%,特异性96.4%。结论 快速冰冻切片在腮腺手术中能够快速准确的诊断良、恶性肿瘤,且可对临床判定腮腺恶性肿瘤恶性程度予以一定参考。     

Interventional Sialendoscopy for Parotid Ductal Calculi: Our Preliminary Experience

With this article we present our initial experience with interventional sialendoscopy of the parotid duct for the parotid calculi. We carried out a prospective study of patients of parotid calculi in a tertiary referral centre. Diagnostic and interventional sialendoscopy was performed in five cases of parotid calculi. The outcome was classified on the basis of clearance of the lumen of the duct and resolution of symptoms. Diagnostic sialendoscopy was able to diagnose the calculus in all cases. Interventional sialendoscopy was done under general anesthesia in all cases and calculus was successfully removed. The average size of sialolith was 8.2 mm. No complications occurred in any of the cases. Check sialendoscopy was done in all cases after a minimum follow up of 6 months, which showed the duct lumen to be free of stone with no stricture of the duct. Sialendoscopy is an optimal technique for removal of intraductal parotid calculi and avoids removal of the gland. In our series there was no associated morbidity and complication.