耳下腺多発性再発多形腺腫における顔面神経の取り扱い

DOI 被引用文献3件 参考文献13件

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タイトル別名
  • The facial nerve in recurrent pleomorphic adenoma with multiple tumors of the parotid gland.

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The injury or sacrifice of the facial nerve and further recurrences are the main problems in managing recurrent pleomorphic adenoma of the parotid gland. Seven cases of benign recurrent pleomorphic adenoma with multiple tumors (1 male, 6 females) were studied. A single operation for three cases and multiple operations for four cases had already been performed elsewhere. Two of the patients had facial nerve paralysis. The procedure for treatment of the patients in the same manner, namely, to remove recurrent tumor, was total parotidectomy and excision of the previous scar. Pathologically, all cases had multiple recurrent tumors. Postsurgically, all patients showed facial nerve paralysis including transient cases. It was possible to preserve of the facial nerve in two cases. Two other cases required resection of the nerve branch. In the other three cases, including two cases with preoperative facial nerve paralysis, the whole facial nerve was completely embedded in the tumor and then resected. Revision surgery was successful in all cases with no further recurrences. It is nessesary to get a patient's informed consent to make plans for revision surgery.

収録刊行物

  • 口腔・咽頭科

    口腔・咽頭科 10 (2), 249-254, 1998

    日本口腔・咽頭科学会

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