Conservative and functional surgery in the treatment of salivary gland tumours
Autor: | Xin Peng, Guang-Yan Yu |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
0301 basic medicine
medicine.medical_specialty medicine.medical_treatment Brachytherapy Submandibular Gland Review Article Conservative Treatment 03 medical and health sciences 0302 clinical medicine stomatognathic system medicine Humans Parotid Gland Great auricular nerve General Dentistry Salivary gland business.industry 030206 dentistry Salivary gland diseases Salivary Gland Neoplasms Facial nerve Submandibular gland Parotid gland Surgery Parotid Neoplasms Submandibular Gland Neoplasms lcsh:RK1-715 stomatognathic diseases 030104 developmental biology medicine.anatomical_structure Superficial Parotidectomy Surgical oncology lcsh:Dentistry Quality of Life business Duct (anatomy) |
Zdroj: | International Journal of Oral Science, Vol 11, Iss 3, Pp 1-4 (2019) International Journal of Oral Science |
ISSN: | 2049-3169 1674-2818 |
Popis: | The principle of modern oncological surgery is to conserve the functional organs or tissues as much as possible based on eradication of the tumour. For salivary gland tumours, conservative and functional salivary surgery, including partial sialoadenectomy as well as anatomical and functional preservation of the facial nerve, great auricular nerve, superficial musculo-aponeurotic system (SMAS), and Stensen’s duct, has become increasingly popular. In the present review, we discuss the following aspects of conservative and functional surgery in the treatment of salivary gland tumours: (i) partial superficial parotidectomy (PP) to treat benign parotid gland tumours, (ii) modification of surgical incisions to improve cosmetic results, (iii) modification of the surgical approach to decrease complications, (iv) extracardial dissection to treat benign superficial parotid tumours, (v) partial sialoadenectomy to treat benign submandibular gland tumours, and (vi) 125I brachytherapy to preserve facial nerves. The majority of the operated parotid or submandibular glands are preserved, and surgical complications are also decreased. Conservative and functional surgery plays a significant role in maintaining normal salivary gland function and in improving patients’ quality of life during the treatment of salivary gland tumours and thus should be further promoted. |
Databáze: | OpenAIRE |
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