39 cases of deep lobe parotid tumor clinical analysis of.docVIP

 PAGE \* MERGEFORMAT 6 39 cases of deep lobe parotid tumor clinical analysis of [Abstract] Objective: To evaluate the effect of invasion of the parapharyngeal space deep lobe parotid tumor diagnosis and surgical success rate. Methods: 39 patients were used in the mouth into the road, after the submandibular jaw into the road, submandibular approach roads and in the mouth extraoral combined approach surgery. Results: The surgery was successful in all 39 cases. Conclusion: The different surgical approaches help to improve the success rate of surgery. [Keywords:] parotid deep lobe tumor; parapharyngeal space; diagnosis; operative approach Parotid gland is cone-shaped, its medial surface constitutes the outer side of the parapharyngeal space, occurred in the deep lobe parotid tumor, often due to a large size, or even dysfunction was found after [1], often to the resistance of the medial broke into the parapharyngeal space. The complex structure of the Ministry of position, surgery revealed vision difficulties, accident-prone. Therefore, preoperative tumor response to the source, scope and nature as the best possible assessment, in order to choose the appropriate surgical approach and determining extent of resection. This collection since 1996, admitted to our hospital deep lobe of parotid tumors 39 cases, analysis report is as follows. 1 Data and methods 1.1 The clinical data of 39 patients in this group, male 22 cases, female 17 cases; aged 23-71 years, mean 41 years old; tumor types, 36 cases of pleomorphic adenoma, 2 cases of malignant mixed tumors, adenoid cystic carcinoma, 1 case; Clinical manifestations: painless pharyngeal side of the soft palate ectasia in 14 cases of jaw pain after 25 cases of submandibular ectasia; combined symptoms: voice change, snoring, tinnitus, swallowing, foreign body sensation, etc.; auxiliary examination: CT examination of 39 cases, MRI examination in 2 cases. 1.2 Treatment All patients were treated by surgery, three cases o