Therapeutic activity
Pathography
Remove the parotid and submandibular salivary glands tumorsTumors of the salivary glands in the practice of a physician are common. Most suffer from women than men. Age of the patients were very different, but the most - from 35 to 55 years.
Benign tumors of the salivary glands are divided into epithelial and non-epithelial:
- epithelial:
- pleomorphic adenoma (polymorphic adenoma, mixed tumor);
- monomorphic adenoma;
- non-epithelial:
- hemangioma;
- lymphangioma;
- lipoma;
- neuroma and other tumors.
More common epithelial tumors. They grow slowly and painlessly, is found only when a certain size. Tumor can be localized in the parotid, submandibular, sublingual and minor salivary glands. These tumors are malignant.
More details - in the "Guide to oral surgery and dental surgery" - Kiev: LLC "Ruta - Tours," 2012.
Treatment
Treatment of salivary gland tumors is alone surgery.
With the localization of the tumor in the parotid salivary gland surgery is performed - parotidektomiya (partial, subtotal, total and sectoral resection). Choice of parotidektomiya depends on the size and location of the tumor.
Operation is performed only under endotracheal anesthesia, which requires a certain preparation of the patient. During the operation conducted sections that provide a clear view and aesthetic surgery field (held on natural skin folds).
Parotidektomiya complexity stems from the fact that in the bulk of the parotid gland is the facial nerve, which provides the appropriate movement of facial muscles. The task of the operating surgeon is to find the facial nerve at the point of exit from the skull, and the allocation of the branches of the facial nerve. Localization of the trunk and branches of the facial nerve is individual. That requires the operating surgeon high qualifications.
With the localization of the tumor in the submandibular salivary gland surgery is performed - extirpation of submandibular gland.
Operation is performed only under endotracheal anesthesia, which requires a certain preparation of the patient. During an operation carried out cuts the light of the branches of the facial nerve, which provide a clear view and aesthetic surgery field (held on natural skin folds).
The complexity of this operation is the fact that the submandibular salivary gland is in close proximity to major vessels (the facial artery and vein), lingual, hypoglossal nerve and the regional branch of the facial nerve, which requires that the operating surgeon qualifications.
With the localization of tumors in the minor salivary glands surgery is performed - excisional biopsy (complete removal of the tumor within the healthy tissue).
Tumor recurs and malignant with non-radical treatment.
More details - in the "Guide to oral surgery and dental surgery" - Kiev: LLC "Ruta - Tours," 2012.