Parotidectomy with simultaneously reconstruction after surgical defect
https://doi.org/10.17650/2222-1468-2017-7-1-42-45
Abstract
Objective: to improve the results of parotidectomy with using the simultaneously reconstruction surgery in the postoperative defects.
Background. The radical surgical treatment for salivary gland tumors is parotidectomy with preservation of the facial nerve. However, this treatment leads to postoperative defects and Frey’s syndrome (25 % of cases). Elimination of the above-mentioned disadvantages requires plastic, reconstructive surgery.
Materials and methods. In the department of head and neck tumors in the National Cancer Center of Uzbekistan during the period 2015 to 2016 were performed parotidectomy with preservation of the facial nerve and simultaneous retromandibular zone reconstruction with displacing muscle flap in 29 patients. In 25 (86 %) patients diagnosed mixed tumor (pleomorphic adenoma) and 4 (14 %) patients had cancer of parotid gland with the verification of histology.
Results. In all of 29 patients were performed parotidectomy with preservation of the facial nerve and the simultaneous reconstruction of retromandibular zone with displacing own bodymuscle flap reduced postoperative complications, which had been revealed before as a defect and hypersensitivity of the retromandibular area.
Conclusions. Reconstructive-restorative surgery in patients with tumors in the parotid gland after parotidectomy with saving of the facial nerve is decreased number of cosmetic defect and hypersensitivity. Using the own bodymuscle flap is preferred to patients than allotransplant.
About the Authors
A. I. Khasanov
Republican Oncology Research Center of the Ministry of Health of the Republic of Uzbekistan
Uzbekistan
Uzbekistan
Department of Head and Neck Tumors
383 Farobiy St., Tashkent 100126, Republic of Uzbekistan
F. Sh. Kamolova
Republican Oncology Research Center of the Ministry of Health of the Republic of Uzbekistan
Uzbekistan
Uzbekistan
Department of Head and Neck Tumors
383 Farobiy St., Tashkent 100126, Republic of Uzbekistan
A. Ch. Polvonov
Republican Oncology Research Center of the Ministry of Health of the Republic of Uzbekistan
Uzbekistan
Uzbekistan
Department of Head and Neck Tumors
383 Farobiy St., Tashkent 100126, Republic of Uzbekistan
References
1. Дрегалкина А.А., Коковина Т.А. Анализ причин рецидивов доброкачественных опухолей слюнных желез. Проблемы стоматологии 2014;3:26–8. [Dregalkina A.A., Kokovina T.A. Analysis of the causes behind recurrence of benign salivary gland tumors. Problemy stomatologii = Problems of stomatology 2014;3:26–8. (In Russ.)].
2. Матякин Е.Г., Дробышев А.Ю., Азизян Р.И. Рецидивы смешанных опухолей околоушных слюнных желез. Стоматология 2010;1:75–7. [Matyakin E.G., Drobyshev A.Yu., Azizyan R.I. Recurrence of mixed parotid salivary gland tumors. Stomatologiya = Stomatology 2010;1:75–7. (In Russ.)].
3. Штраубе Г.И., Василюк В.П., Кочержук А.С. Результаты диагностики и хирургического лечения доброкачественных опухолей слюнных желез. Здоровье семьи – 21 век. 2012;2(2):21. [Shtraube G.I., Vasiluyk V.P., Kocherzhuk A.S. Results of diagnostics and surgical treatment of benign salivary gland tumors. Zdorov’e sem’i – 21 vek = Family Health – 21st Century 2012;2(2):21. (In Russ.)].
4. Пачес А.И. Опухоли головы и шеи. М., 2000. [Paches A.I. Head and neck tumors. Moscow: Meditsina, 2000. (In Russ.)].
5. Bradley P. General epidemiology and statistics in defined UK population. In: McGurk M, Renehan A, eds. Controversies in the management of salivary gland disease. Oxford: Oxford University Press: 3–12.
6. Пачес А.И. Опухоли слюнных желез / А.И. Пачес, Т.Д. Таболиновская. М.: Практическая медицина, 2009. [Paches A.I., Tabolinovskaya T.D. Salivary gland tumors. Moscow: Prakticheskaya meditsina, 2009. (In Russ.)].
7. Dehner L., Valbuena L. Salivary gland anlage tumor (congential pleomorphic adenoma). Am J Surg Phatol 1994;18:25–36. PMID: 8279626
8. Грибова О.В. Нейтронно-фотонная терапия злокачественных новообразований слюнных и щитовидных желез: Автореф. дис. ... канд. мед. наук. Томск, 2008. [Gribova O.V. Neutron photon therapy of malignant salivary gland and thyroid tumors. Ph.D. dissertation summary. Tomsk: 2008. (In Russ.)].
9. Lewis J., Olsen K., Sebo T. Carcinoma ex pleomorphic adenoma: pathologic analysis of 73 cases. Hum Pathol 2001;32:596–604. DOI: 10.1053/hupa.2001.25000 PMID: 11431714
10. Nordkvist A., Rolfer E., Bang G. et al. Expression and mutation patterns of p.53 in behind and malignant salivary gland tumors. Int J Oncol 2000;16:477–83. PMID: 10675478
11. Сельский Н.Е. Контурная пластика лица комбинированными аллотрансплантатами: Автореф. дис. … канд. мед. наук. Санкт-Петербург, 1992. [Selskiy N.E. Contour plastic surgery of the face using combined allotransplants. Ph.D. dissertation summary. Saint Petersburg: 1992. (In Russ.)].
Review
For citations:
Khasanov A.I., Kamolova F.Sh., Polvonov A.Ch. Parotidectomy with simultaneously reconstruction after surgical defect. Head and Neck Tumors (HNT). 2017;7(1):42-45. (In Russ.) https://doi.org/10.17650/2222-1468-2017-7-1-42-45
Views:
1568
Email this article 