耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
良性疾患に対する顎下腺摘出術における顔面神経下顎縁枝の処理法
吉村 勝弘河田 了辻 雄一郎李 昊哲寺田 哲也竹中 洋
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2006 年 99 巻 8 号 p. 653-656

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Surgical management of the mandibular branch of the facial nerve is important during excision of the mandibular triangle components. In general, there are two surgical approaches to preserve the nerve; the identified method and the non-identified method. We studied 45 patients who underwent excision of mandibular triangle components without malignancies. We used the non-identified method for all cases in this study. Facial paralysis occurred in 4 cases (8.9%) of pleomorphic adenoma, sialolithiasis, chronic inflammation and cyst, respectively. All paralyses were temporary. The non-identified method is likely to be more effective than the other method.

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