SUBMANDIBULAR-GLAND EXCISION - SHORT-TERM AND LONG-TERM COMPLICATIONS

SUBMANDIBULAR-GLAND EXCISION - SHORT-TERM AND LONG-TERM COMPLICATIONS
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DOI:
10.1159/000276616
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发表时间:
1994-03-01
期刊:
ORL-JOURNAL FOR OTO-RHINO-LARYNGOLOGY AND ITS RELATED SPECIALTIES
影响因子:
--
通讯作者:
ANDREASSEN, UK
ANDREASSEN, UK
中科院分区:
其他
文献类型:
--
作者:
HALD, J;ANDREASSEN, UK

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在10年的时间里,157例患者进行了159例良性颌下腺切除术。86例患者可接受随访评价。列出了短期和长期并发症。术后面神经下颌分支失用症较多,但功能恢复率为92.3%。在一些病例中,患者注意到疤痕问题、感觉变化、流涎和味觉减少,但很少引起不满。唾液腺结石组术后有18.2%的患者有胆管结石残留。由于口腔干燥症的发展,切除双侧腺体的适应症应仔细考虑。
During a 10-year period, 159 benign submandibular gland excisions were performed in 157 patients. 86 of the patients were available for follow-up evaluation. Both short- and long-term complications were listed. Neurapraxia to the mandibular branch of the facial nerve was frequent after the operation, but restoration of function was seen in 92.3%. Scar problems, sensation changes, reduced salivation and taste perception were noticed by the patients in several cases, but rarely caused dissatisfaction. 18.2% of the patients in the salivary stone group had residual stones in Wharton's duct after the operation. The indication for removal of both glands should be carefully considered because of development of xerostomia.