Minimal Margin Surgery and Intraoperative Neuromonitoring in Benign Parotid Gland Tumors: Retrospective Clinical Study

被引：4

作者：

Massimilla, Eva Aurora ^{[1
]}

Motta, Giovanni ^{[1
]}

Magaldi, Michelangelo ^{[1
]}

Montella, Marco ^{[2
]}

Messina, Gaetana ^{[3
]}

Testa, Domenico ^{[1
]}

Cantone, Elena ^{[4
]}

Motta, Gaetano ^{[1
]}

机构：

[1] Univ Campania L Vanvitelli, Dept Mental Phys Hlth & Prevent Med, ENT Unit, I-80131 Naples, Italy

[2] Univ Campania L Vanvitelli, Dept Mental Phys Hlth & Prevent Med, Pathol Unit, I-80138 Naples, Italy

[3] Univ Campania L Vanvitelli, Dept Cardiothorac & Resp Sci, Thorac Surg Unit, I-80131 Naples, Italy

[4] Univ Naples Federico II, Dept Neurosci Reprod & Odontostomatol Sci, Otorhinolaryngol Head & Neck Surg Unit, I-80131 Naples, Italy

来源：

JOURNAL OF PERSONALIZED MEDICINE | 2022年 / 12卷 / 10期

关键词：

extracapsular dissection; pleomorphic adenoma; Warthin tumor; intraoperative neuromonitoring; facial nerve; EXTRACAPSULAR DISSECTION; SUPERFICIAL PAROTIDECTOMY; SURGICAL-MANAGEMENT; PLEOMORPHIC ADENOMA; EXPERIENCE; NEOPLASMS; PROPOSAL; LESIONS;

D O I：

10.3390/jpm12101641

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Extracapsular dissection (ECD) was introduced for the removal of superficial and small benign parotid tumors. According to a recent proposal, ECD is reserved for tumors that are 3 cm or less, mobile, and close to the parotid borders in cases of pleomorphic adenoma. The aim of the study is to evaluate the effectiveness of ECD for treatment of benign parotid tumors also in cases of tumors that were larger than 3 cm and deeper. All ECD for benign parotid neoplasms conducted between 2007 and 2017 were reviewed. The lesions included were limited to primary parotid tumors and categorized by Quer proposal. Facial nerve monitoring was used in all cases. Facial nerve palsy and local recurrences were assessed. The 88 ECD performed met inclusion criteria. The mean lesion size was 4.26 cm. Of the tumors, 68 were less than 3 cm in diameter and 20 were larger, 64 were superficial, and 24 were deep. The most common lesion types were pleomorphic adenoma (88.6%). There was no significant difference in complication rates between the size of tumor (p = 0.9) and location (p = 0.91). Our results suggest that extracapsular dissection could be considered an option for first-time diagnosed benign parotid tumors, even in cases of large dimensions and deep lobe involvement.

引用

页数：9