[Functional parotid surgery for removal of benign parotid tumors]

Objective: To evaluate the effect of the application of functional parotid surgery for removal of benign parotid tumors and the prevention of Frey syndrome. Method: One hundred and fifty-six cases with benign tumor were underwent functional regional parotidectomy. All tumors were smaller than 4 cm in diameter. The safe surgical margin was 5 mm when the tumors were less than 2 cm in diameter, while the safety margin was 1 cm for the tumors diameter between 2-4 cm. 156 cases were assigned to two groups(A and B). The absorbable hemostatic sponge was placed between the surface of parotid gland and skin flap after tumor resection in group A，while no sponge was placed in group B. Postoperative followup was 12-24 months. Result: No compression bandage was performed. No patient had recurrence or salivary fistula. There were 3 cases of temporary facial paralysis, of which 2 cases recovered from the mandibular marginal branch injury within 1 month and 1 case recovered from the facial nerve trunk injury within 6 months. Compared with group B 15.38%(12/78)，the incidence of Frey syndrome was significantly decreased in group A 3.85%（3/78）.χ₂=5.728, P<0.05. Conclusion: The removal of benign parotid tumors by functional parotid surgery can effectively preserve the function of residual gland and reduce complication. Intraoperative implantation of absorbable hemostatic sponge between parotid gland and skin flap can reduce the incidence of Frey syndrome.