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[Retrospective study of partial superficial parotidectomy and superficial parotidectomy on superficial parotid benign
1Department of Oral and Maxillofacial Surgery,Zhongshan Hospital Affiliated to Dalian University, Dalian, 116001, China.
Abstract:
Objective:To compare the clinical effect between partial superficial parotidectomy (PSP) and superficial parotidectomy (SP) through a retrospective analysis and to provide evidence for the benign tumor surgical strategy. Method:According to different surgical strategies performed, 168 patients with superficial parotid benign tumor were reviewed and divided into PSP group and SP group. Clinical data was compared between two groups from different aspects, including operation condition, complications, recurrence rate, as well as parotid function. SPSS 22.0 software was used in statistical analysis. Result:PSP group has an average operative incision length of (6.65±1.17)cm, and average operation time of (82.25±11.56)min, while SP group is (10.86±1.65)cm and (121.42±17.32)min. So, compared with the SP group, PSP has obvious advantages in operation conditions (P<0.01). Furthermore, PSP group also presents an advantage over SP group in occurrence of postoperative complications (P<0.05), while there is no significant difference between two groups in palindromia rate (P>0.05). As for the maintenance of parotid gland functions, PSP group could retain most of parotid functions, but no function would be retained in SP group. Statistical analysis confirms the significance (P<0.05). Conclusion: Compared with SP, in PSP there is declined complication incidence but no increased palindromia recurrence. However, PSP has an apparent advantage on decreased surgical incision length, downscaled operation scope, reduced operation time and retained original functions of gland. All these advantages present the reliability and feasibility of PSP in treating superficial parotid benign tumor.
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