대한두경부종양학회지 (Korean Journal of Head & Neck Oncology)

  • 제26권1호
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  • Pages.19-23
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  • 2010
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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

이하선수술시 안면신경의 위치에 따른 신경 보존 술식의 개선방법

Rolling Method to Preserve Facial Nerve in Parotidectomy

  • 유영삼 (인제대학교 의과대학 상계백병원 이비인후과학교실)
  • Yoo, Young-Sam (Department of Otolaryngology Head and Neck Surgery, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 발행 : 2010.05.31
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초록

Objectives : In parotidectomy, facial nerve dissection technique had been evolved for its safety. Surgical landmarks are important and good guides to facial nerve detection. Conventional exposure and release of the nerve requires hemostat for elevation of parotid tissue from nerve and #11 blade for cutting the parotid away from the nerve. Material and Methods : The rolling the parotid tissue over the nerve after dissecting with Metzembaum scissors instead of knife, lessen pulling trauma and nerve cutting by knife. Eleven superficial parotidectomies since June 2009 were done with rolling technique and preliminary report is presented. Results : Total 11 parotidectomies were done using proposed technique with tolerable complications(temporary facial dysfunction in 4 cases). Conclusion : Rolling method using metzembaum scissors could be applied to parotid operation.

키워드

참고문헌

  1. Henney SE, Brown R, Phillips DE. Parotidectomy: The timing of post-operative complications. Eur Arch Otorhinolaryngol. 2009 May 1. [Epub ahead of print].
  2. Zhao HW, Li LJ, Han B, Liu H, Pan J. Preventing post-surgical complications by modification of parotidectomy. Int J Oral Maxillofac Surg. 2008;37(4):345-349. https://doi.org/10.1016/j.ijom.2007.11.022
  3. Martis C. Parotid benign tumors: Comments on surgical treatment of 263 cases. Int J Oral Surg. 1983;12(4):211-220. https://doi.org/10.1016/S0300-9785(83)80045-3
  4. Moshe H, Dalia L, Moshe E. Superficial parotidectomy for benign parotid lesions. Operative Techniques in Otolaryngology-head and Neck Surgery. 1996:7(4):315-322. https://doi.org/10.1016/S1043-1810(96)80002-9
  5. Wang RC, Barber AE, Ditmyer M, Vantine P. Distal facial nerve exposure: A key to partial parotidectomy. Otolaryngol Head Neck Surg. 2009;140(6):875-879. https://doi.org/10.1016/j.otohns.2009.03.015
  6. Anjum K, Revington PJ, Irvine GH. Superficial parotidectomy: Antegrade compared with modified retrograde dissections of the facial nerve. Br J Oral Maxillofac Surg. 2008;46(6):433-434. https://doi.org/10.1016/j.bjoms.2008.03.018
  7. Rea PM, McGarry G, Shaw-Dunn J. The precision of four commonly used surgical landmarks for locating the facial nerve in anterograde parotidectomy in humans. Ann Anat. 2010;192(1): 27-32. https://doi.org/10.1016/j.aanat.2009.09.005
  8. Cannon CR, Replogle WH, Schenk MP. Facial nerve in parotidectomy: A topographical analysis. Laryngoscope. 2004;114 (11):2034-2037. https://doi.org/10.1097/01.mlg.0000147943.13052.62
  9. O'Regan B, Bharadwaj G, Elders A. Techniques for dissection of the facial nerve in benign parotid surgery: A cross specialty survey of oral and maxillofacial and ear nose and throat surgeons in the UK. Br J Oral Maxillofac Surg. 2008;46(7):564-566. https://doi.org/10.1016/j.bjoms.2008.01.008
  10. Mehle ME, Kraus DH, Wood BG, Benninger MS, Eliachar I, Levine HL, et al. Facial nerve morbidity following parotid surgery for benign disease: The Cleveland Clinic Foundation experience. Laryngoscope. 1993;103(4 Pt 1):386-388. https://doi.org/10.1002/lary.5541030404
  11. Marchesi M, Biffoni M, Trinchi S, Turriziani V, Campana FP. Facial nerve function after parotidectomy for neoplasms with deep localization. Surg Today. 2006;36(4):308-311. https://doi.org/10.1007/s00595-005-3146-9
  12. Klintworth N, Zenk J, Koch M, Iro H. Postoperative complications after extracapsular dissection of benign parotid lesions with particular reference to facial nerve function. Laryngoscope. 2010;120(3):484-490. https://doi.org/10.1002/lary.20801