대이개 신경 뒷가지 희생군과 보존군에서 감각 차이의 비교

양형채; 이성수; 조시영; 이창준; 김록영; 이준규

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자료유형: 학술저널

저자정보: 양형채 이성수 조시영 이창준 김록영 이준규

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제54권 제3호

발행연도: 2011.1

수록면: 208 - 212 (5page)

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Background and Objectives Whether to sacrifice the posterior branch of great auricular nerve (GAN) during parotidectomy is disputatious. This study was to provide a guideline for de-cision-making. Subjects and Method Thirty-two patients who underwent parotidectomy due to parotid mass were randomized into two groups. Three patients who underwent further treatment were ex-cluded. Fourteen patients underwent classic parotidectomy by sacrificing GAN whereas 15 patients underwent surgery that preserved the nerve. A two-point discrimination test, sensation of light touch, sharp instrument, blunt instrument and temperature were evaluated preoperatively, and at 7 days, 1, 3, 6, 12 months and 45 months, postoperatively. Patients’ preference for the ope-ration time to preserve the nerve was also evaluated. Results The mean preservation time was 156 seconds. There was no difference in touch sensa-tion, preoperatively, between the two groups. The two-point discrimination test of the infra-auricular area showed significant differences at 1 week postoperatively (p＜0.05). The two-point discrimination test of lobule showed significant differences at 1 month (p＜0.05), but these dif-ferences disappeared at 1 and 3 months. All measured data had no statistically sig-nificant differences at 3 and 6 months. At one year, light touch sensation of lobule and temperature sensa-tion of infra-auricular area showed significant differences (p＜0.05). Differences in tempera-ture were found at 45 months of follow-up. Of the patients, 95% wanted to preserve the nerve. Conclusion The authors suggest that the posterior branch of GAN was preserved according to patients’ preference for the sensation of temperature in the infra-auricular area.

#Parotid gland ㆍSensation.

참고문헌 (15)

참고문헌 신청

Brown JS / 1989 / Preserving the great auricular nerve in parotid surgery / Br J Oral Maxillofac Surg 27 (6) : 459 ~ 466

Christensen NR / 1997 / "Parotidectomy",Preserving the posterior branch of the great auricular nerve / J Laryngol Otol 111 (6) : 556 ~ 559

Hobsley M / 1972 / Amputation neuroma of the great auricular nerve after parotidectomy / Br J Surg 59 (9) : 735 ~ 736

Hui Y / 2003 / A prospective controlled double-blind trial of great auricular nerve preservation at parotidectomy / Am J Surg 185 (6) : 574 ~ 579

Kim SY / 2009 / Salivary gland tumor, In Otorhinolarynglology head and neck surgery. 2nd ed / Ilchokak : 1560 ~ 1571

이 논문의 저자 정보

양형채

소속기관 Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea