양성 이하선 종양의 보존적 수술적 치료법: 피막 외 절제술
Conservative Surgical Treatment of Benign Parotid Tumors: Extracapsular Dissection
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초록
Parotid tumor resection, parotidectomy, is a surgical procedure that requires considerable experiencefrom surgeons in most of the cases because of the risk of facial nerve damage. In addition,it is often times difficult to identify and preserve the facial nerve during the procedure,because it requires removal of a considerable amount of normal parotid tissue even when it isnot related to the location of the tumor itself. Post-operative cosmetic problems and complicationsassociated with inevitable removal of the normal parotid gland tissue cannot be ignored. For these reasons, parotidectomy has been evolved over the years to ensure the oncological safety,avoid complications, and improve functional and cosmetic results. Recently, the use andimportance of extracapsular dissection (ECD) has become more recognized because it is amore conservative surgical method than partial superficial parotidectomy with preservation offacial nerve function, minimization of functional and cosmetic complications, and limited removalof unnecessary normal parotid gland tissue. Herein, we review the literatures related toECD for benign parotid tumors and explain the efficacy of this emerging procedure based onthe previous study results reported by the authors.
Abstract
Parotid tumor resection, parotidectomy, is a surgical procedure that requires considerable experiencefrom surgeons in most of the cases because of the risk of facial nerve damage. In addition,it is often times difficult to identify and preserve the facial nerve during the procedure,because it requires removal of a considerable amount of normal parotid tissue even when it isnot related to the location of the tumor itself. Post-operative cosmetic problems and complicationsassociated with inevitable removal of the normal parotid gland tissue cannot be ignored. For these reasons, parotidectomy has been evolved over the years to ensure the oncological safety,avoid complications, and improve functional and cosmetic results. Recently, the use andimportance of extracapsular dissection (ECD) has become more recognized because it is amore conservative surgical method than partial superficial parotidectomy with preservation offacial nerve function, minimization of functional and cosmetic complications, and limited removalof unnecessary normal parotid gland tissue. Herein, we review the literatures related toECD for benign parotid tumors and explain the efficacy of this emerging procedure based onthe previous study results reported by the authors.
참고문헌 (19)
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