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이하선 기능 보존을 위한 심층엽의 선택적 절제술: 증례보고

SELECTIVE DEEP LOBE PAROTIDECTOMY FOR PRESERVATION OF PAROTID FUNCTION: A CASE REPORT

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초록

Tumors of the deep lobe of parotid gland are rare. These benign tumors have usually been treated by total parotidectomy, which has functional and esthetic side effects. Recently, there has been a trend for operations of parotid gland benign tumors to be less radical and selective deep lobe parotidectomy has been introduced. This technique preserves the superficial lobe and facial nerve when tumor is located in the deep lobe. Selective deep lobe parotidectomy preserves parotid salivary function, minimizes the incidence of facial nerve damage and gustatory sweating (Frey’s syndrome) and improves cosmetic outcome. We report a case of pleomorphic adenoma of the deep lobe that was successfully treated by selective deep lobe parotidectomy with satisfactory result.

Abstract

Tumors of the deep lobe of parotid gland are rare. These benign tumors have usually been treated by total parotidectomy, which has functional and esthetic side effects. Recently, there has been a trend for operations of parotid gland benign tumors to be less radical and selective deep lobe parotidectomy has been introduced. This technique preserves the superficial lobe and facial nerve when tumor is located in the deep lobe. Selective deep lobe parotidectomy preserves parotid salivary function, minimizes the incidence of facial nerve damage and gustatory sweating (Frey’s syndrome) and improves cosmetic outcome. We report a case of pleomorphic adenoma of the deep lobe that was successfully treated by selective deep lobe parotidectomy with satisfactory result.

참고문헌 (24)

  1. Horn-Ross PL, "Recent trends in the incidence of salivary gland cancer", Int J Epidemiol, 20, pp.628~633 (1991)
  2. Som PM, "Tumors of the parapharyngeal space: preoperative evaluation, diagnosis and surgical approaches", Ann Otol Rhinol Laryngol Suppl, 90, pp.3~15 (1981)
  3. Baker DC, "Surgical approach to retromandibular parotid tumors", Ann Plast Surg, 3, pp.304~314 (1979)
  4. Hanna DC, "Tumors of the deep lobe of the parotid gland", Am J Surg, 116, pp.524~527 (1968)
  5. Nigro MF, "Deep lobe parotid tumors", Am J Surg, 134, pp.523~527 (1977)
  6. Laccourreye H, "Total conservative parotidectomy for primary benign pleomorphic adenoma of the parotid gland: a 25-year experience with 229 patients", Laryngoscope, 104, pp.1487~1494 (1994)
  7. Leverstein H, "Surgical management of 246 previously untreated pleomorphic adenomas of the parotid gland", Br J Surg, 84, pp.399~403 (1997)
  8. Hussain A, "Preservation of the superficial lobe for deep-lobe parotid tumors: a better aesthetic outcome", Ear Nose Throat J, 84, pp.518~ (2005)
  9. Roh JL, "Function-preserving parotid surgery for benign tumors involving the deep parotid lobe", J Surg Oncol, 98, pp.42~45 (2008)
  10. Colella G, "Parotid function after selective deep lobe parotidectomy", Br J Oral Maxillofac Surg, 45, pp.108~111 (2007)
  11. Avery CM, "Preservation of the superficial lobe with tumours of the deep-lobe of the parotid", Br J Oral Maxillofac Surg, 45, pp.247~248 (2007)
  12. Terris DJ, "Modified facelift incision for parotidectomy", J Laryngol Otol, 108, pp.574~578 (1994)
  13. Carr RJ, "A review of tumours of the deep lobe of the parotid salivary gland", Br J Oral Maxillofac Surg, 24, pp.155~168 (1986)
  14. Patey DH, "The treatment of parotid tumours in the light of a pathological study of parotidectomy material", Br J Surg, 45, pp.477~487 (1958)
  15. Donovan DT, "Capsular significance in parotid tumor surgery: reality and myths of lateral lobectomy", Laryngoscope, 94, pp.324~329 (1984)
  16. Spiro RH, "Salivary neoplasms: overview of a 35-year experience with 2,807 patients", Head Neck Surg, 8, pp.177~184 (1986)
  17. Woods JE, "Experience with 1,360 primary parotid tumors", Am J Surg, 130, pp.460~462 (1975)
  18. Maynard JD, "Management of pleomorphic adenoma of the parotid", Br J Surg, 74, pp.305~308 (1988)
  19. Gaillard C, "Facial nerve dysfunction after parotidectomy: the role of local factors", Laryngoscope, 115, pp.287~291 (2005)
  20. Yamashita T, "The usefulness of partial parotidectomy for benign parotid gland tumors. A retrospective study of 306 cases", Acta Otolaryngol Suppl, 500, pp.113~116 (1993)
  21. Nichols RD, "Facial nerve function in 100 consecutive parotidectomies", Laryngoscope, 89, pp.1930~1934 (1979)
  22. Singleton GT, "Frey’s syndrome: incidence related to skin flap thickness in parotidectomy", Laryngoscope, 90, pp.1636~1639 (1980)
  23. Zhao K, "Functional superficial parotidectomy", J Oral Maxillofac Surg, 52, pp.1038~1041 (1994)
  24. Chaushu G, "Salivary flow dynamics after parotid surgery: a preliminary report", Otolaryngol Head Neck Surg, 124, pp.270~273 (2001)

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