Zusammenfassung
Bei gutartigen Parotistumoren ist es ein vorrangiges Behandlungsziel, die Morbidität
des operativen Eingriffs zu senken. Standardisiertes intraoperatives
Vorgehen und Verfahren zur Minimierung des Operationsumfangs konnten das Risiko einer
bleibenden Fazialisparese deutlich senken. Aktuelle evidenzbasierte
Therapieverfahren und mögliche Komplikationen nach Parotidektomie werden in diesem
Beitrag näher erläutert.
Abstract
Parotidectomy is the standard procedure for treatment of benign parotid tumors. Nowadays,
one of the main objectives of surgery is to minimize morbidity.
However, the debate about the appropriate surgical technique in parotid surgery is
still ongoing. There is a high level of evidence, that limited parotidectomy
techniques are associated with fewer complications and especially with lower prevalence
of permanent facial nerve palsy and Frey´s syndrome. However, limited
parotidectomy requires an accurate pre-selection of patients and a precise preoperative
diagnostic work-up. This manuscript describes the current trends in
surgery for benign parotid lesions and illustrates the treatment options for major
post-parotidectomy complications.
Schlüsselwörter
benigner Parotistumor - Parotidektomie - evidenzbasierte Therapie - Frey-Syndrom -
Warthin-Tumor - Fazialisparese
Key words
benign parotid lesion - management of complications - parotidectomy - evidence-based
therapy - Frey´s syndrome - facial nerve palsy
