良性疾患に対する顎下腺摘出術における顔面神経下顎縁枝の処理法 The Non-identified Method of Preserving the Mandibular Branch of the Facial Nerve in Submandibular Surgery of the Non-malignant Disease
Surgical management of the mandibular branch of the facial nerve is important during excision of the mandibular triangle components. In general, there are two surgical approaches to preserve the nerve; the identified method and the non-identified method. We studied 45 patients who underwent excision of mandibular triangle components without malignancies. We used the non-identified method for all cases in this study. Facial paralysis occurred in 4 cases (8.9%) of pleomorphic adenoma, sialolithiasis, chronic inflammation and cyst, respectively. All paralyses were temporary. The non-identified method is likely to be more effective than the other method.
耳鼻咽喉科臨床 99(8), 653-656, 2006-08-01
The Society of Practical Otolaryngology