Complications of Surgery for Parotid Gland Tumors

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  • 耳下腺腫瘍手術における合併症
  • 耳下腺腫瘍手術における合併症 : フライ症候群,唾液瘻,ファーストバイト症候群を中心に
  • ジカセン シュヨウ シュジュツ ニ オケル ガッペイショウ : フライ ショウコウグン,ダエキロウ,ファーストバイト ショウコウグン オ チュウシン ニ
  • ―フライ症候群，唾液瘻，ファーストバイト症候群を中心に―

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<p>The complications of parotid gland surgery include facial nerve paralysis, Frey syndrome, salivary fistula, postoperative bleeding, and hypoesthesia of the greater auricular nerve. However, the risk of recurrence of tumors also needs to be considered. In addition, the first bite syndrome may develop when tumors of the salivary gland originating from the deep lobe present in the parapharyngeal space. These complications, besides facial nerve paralysis, can also reduce the postoperative QOL of patients after parotidectomy. It is necessary to obtain informed consent from the patients before the surgery, and to take preventive measures and consider appropriate treatments for complications that might arise. In this article, among the complications of surgery for parotid gland tumors, Frey syndrome, salivary fistula, sensory abnormalities around the auricle, and first bite syndrome, which are the second most common complications after facial nerve paralysis, are reviewed and data are introduced. In addition, recent findings on the management for postoperative complications after parotid gland surgery are reviewed, and surgery for recurrent pleomorphic adenoma of the parotid gland is described.</p>

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