대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제27권1호
  • /
  • Pages.54-58
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  • 2011
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  • 1229-5183(pISSN)
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  • 2586-2553(eISSN)
대한두경부종양학회 (The Korean Society for Head and Neck Oncology)
권호 표지

이하선 양성종양에서 제한적 부분 이하선 절제술의 유용성

Role of Limited Partial Parotidectomy in the Management of Benign Parotid Tumors

  • 정성도 (단국대학교 의과대학 이비인후과학교실) ;
  • 안세영 (단국대학교 의과대학 이비인후과학교실) ;
  • 박병건 (건양대학교 의과대학 이비인후과학교실) ;
  • 이상준 (단국대학교 의과대학 이비인후과학교실) ;
  • 정필상 (단국대학교 의과대학 이비인후과학교실)
  • Jung, Sung-Do (Department of Otolaryngology, Head & Neck Surgery, College of Medicine, Dankook University) ;
  • An, Se-Young (Department of Otolaryngology, Head & Neck Surgery, College of Medicine, Dankook University) ;
  • Park, Byung-Kuhn (Department of Otorhinolaryngology, College of Medicine, Konyang University) ;
  • Lee, Sang-Joon (Department of Otolaryngology, Head & Neck Surgery, College of Medicine, Dankook University) ;
  • Chung, Phil-Sang (Department of Otolaryngology, Head & Neck Surgery, College of Medicine, Dankook University)
  • 발행 : 2011.05.27
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초록

Objectives : There are many reports on attempts to minimize complications and recurrences of tumor by several techniques for benign parotid tumor resection. The purpose of our study is to find out meaning of procedure without identifying main trunk of facial nerve compared to conventional parotidectomy. Material and Methods : We classified 121 patients into two groups. Patients who were underwent superficial parotidectomy or partial superficial parotidectomy were included in idenitification group(IF group), and patients who were treated with conservative partial parotidectomy or extracapsular dissection without identification of main trunk of facial nerve were included in the non-identification group(NF group). We analyzed the location of tumor, operation time, mean drainage duration, complication, recurrence and cosmetic satisfaction in two groups. Results : NF group has shorter operation time and mean drainage duration than IF group, however there is no significant difference in complication and recurrence between two surgical techniques. The Cosmetic satisfaction was similar between two groups. Conclusion : Limited parotidectomy without finding main trunk of facial nerve may be reliable option for benign parotid tumors because it has advantages such as less operation time and mean drainage duration without increasing in recurrence or complication rate.

키워드

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