| Автор | Nouraei, S A R |
| Автор | Ismail, Y |
| Автор | McLean, N R |
| Автор | Thomson, P J |
| Автор | Milner, R H |
| Автор | Welch, AR |
| Дата выпуска | 2007 |
| dc.description | Objective: To review the results of surgical management of chronic parotid sialadenitis refractory to medical therapy, with particular respect to long-term symptom resolution and development of post-operative complications.Methods: A retrospective review of parotidectomies performed for chronic intractable parotid sialadenitis. Information was collected about presentation, pre-operative investigations, surgical treatment, post-operative complications and outcome.Results: 36 parotidectomies were performed for chronic sialadenitis between 1991 and 2002. Age at presentation was 56±9.6 years, with median symptom duration of 2.3 years. For patients with non-specific presentations, magnetic resonance imaging (MRI) was the most useful pre-operative investigation. Superficial parotidectomy with duct preservation was the main treatment with a 94 per cent success rate, and near-total parotidectomy was reserved for patients with extensive deep-lobe involvement. Duct ligation significantly increased the risk of transient facial palsy. There was a 56 per cent and 22 per cent incidence of temporary facial paresis and Freyʼs syndrome, respectively.Conclusions: Controversies exist regarding the optimal pre-operative investigation and surgical treatment of chronic parotid sialadenitis. We advocate magnetic resonance image (MRI) scanning for patients with non-specific symptoms of sialadenitis, and sialography in the presence of reasonable clinical suspicion. We propose superficial parotidectomy without parotid duct ligation as the standard of care, with near-total parotidectomy reserved for extensive deep-lobe disease. |
| Издатель | Cambridge University Press |
| Тема | Parotid Gland |
| Тема | Sialadenitis |
| Тема | Parotidectomy |
| Тема | Magnetic Resonance Imaging |
| Название | Surgical treatment of chronic parotid sialadenitisPresented at the Summer Scientific Meeting of the British Association of Plastic Surgeons, 7 July 2005, Windsor, UK. |
| DOI | 10.1017/S0022215106005445 |
| Electronic ISSN | 1748-5460 |
| Print ISSN | 0022-2151 |
| Журнал | The Journal of Laryngology & Otology |
| Том | 121 |
| Первая страница | 880 |
| Последняя страница | 884 |
| Аффилиация | Nouraei S A R; Charing Cross Hospital; Charing Cross Hospital |
| Аффилиация | Ismail Y; Royal Victoria Infirmary |
| Аффилиация | McLean N R; Institute of Craniofacial Studies |
| Аффилиация | Thomson P J; Newcastle General Hospital |
| Аффилиация | Milner R H; Royal Victoria Infirmary |
| Аффилиация | Welch AR; Freeman Hospital |
| Выпуск | 9 |
