CAJ | 학술논문

目的探讨内镜辅助经口入路颌下腺切除术的指征和利弊.方法同顾性分析12例内镜辅助经口入路颌下腺切除术患者的临床资料.术前诊断慢性颌下腺炎8例(2例含涎石),多形性腺瘤3例,颌下腺囊肿1例.所有病例术前经影像学评估,其中8例经细针穿刺细胞学或细针穿刺组织学活检确诊.结果术后2例出现暂时性的舌体麻木和舌体运动障碍,1～3个月后完全缓解;无其他并发症.术后1个月未损害面容满意度采用视觉模拟量表评分均为10分,所有患者都满意.多形性腺瘤患者随访时间12～48个月(中位数36个月),未见复发.结论内镜辅助经口入路良性颌下腺病损切除术安全、可行,优点是无颈部瘢痕和面神经下颌缘支损伤的风险.
목적 탐토내경보조경구입로합하선절제술적지정화리폐.방법 동고성분석12례내경보조경구입로합하선절제술환자적림상자료.술전진단만성합하선염8례(2례함연석),다형성선류3례,합하선낭종1례.소유병례술전경영상학평고,기중8례경세침천자세포학혹세침천자조직학활검학진.결과 술후2례출현잠시성적설체마목화설체운동장애,1～3개월후완전완해;무기타병발증.술후1개월미손해면용만의도채용시각모의량표평분균위10분,소유환자도만의.다형성선류환자수방시간12～48개월(중위수36개월),미견복발.결론 내경보조경구입로량성합하선병손절제술안전、가행,우점시무경부반흔화면신경하합연지손상적풍험.
Objective To discuss the indications, risks and benefits of endoscope-assisted transoral approach to excise the submandibular gland. Methods A retrospective review of a series of 12 patients treated by endoscope-assisted transoral submandibular gland excision was carried out. Of the 12 patients, 8were chronic sialoadenitis (2 cases with sialolith), 3 were pleomorphic adenoma, and 1 was cyst of submandibular gland. Preoperatively, all patients were diagnosed as benign diseases by Ultrasonography, CT or MRI. Pathologic diagnosis of 8 cases were identified by fineneedleaspiration cytology (FNAC) or fineneedle aspiration biopsy (FNAB). Results Temporary lingual sensory paresis and temporary limitation of tongue movement were found in two patients. However, these signs soon resolved spontaneously within 1-3 months. There were no other complications. Postoperatively, mean satisfaction score with cosmetic results was 10. All patients were satisfied with the cosmetic results. No recurrences were found in patients with pleomorphic adenoma with a follow-up period ranged from 12 months to 48 months(median follow-up period:36 months). Conclusions Endoscope-assisted transoral excision of the submandibular gland is a feasible and safe approach for the benign diseases of the submandibular gland . The major advantages of this approach are no external scar and no injury to the marginal mandibular nerve.