耳下腺手術の合併症には，顔面神経麻痺・Frey症候群・唾液瘻等があり，特に顔面神経麻痺はQOLに直結する注意すべき合併症である。当科で2012年4月から2020年6月に手術を施行した耳下腺腫瘍350例のうち，良性腫瘍の新鮮例273例を対象として術後合併症につき検討した。術後合併症は顔面神経麻痺が18例，唾液瘻が13例，Frey症候群が3例であった。前期群と後期群に分けて比較したところ，後期群で合併症の頻度が低かった。顔面神経麻痺を認めた症例の腫瘍の局在は，浅葉が8例，下極が4例・深葉が6例であった。単変量解析では，深葉の場合に麻痺が有意に多い結果であった（p＝0.009）。深葉の症例の手術の際は特に顔面神経麻痺に注意する必要がある。

BACKGROUND Large oncosurgical defects of the cheek present a challenging reconstructive problem, especially when skin resections are combined with other procedures such as parotidectomy and/or neck dissection. METHODS We present our experience with the deep plane cervicofacial flap (DPCFF) for reconstructing zone 1 (n=7), zone 2 (n=6), and zone 3 (n=5) cheek defects resulting from excision of...

Sclerosing polycystic adenosis (SPA) frequently presents as an isolated process, however it may involve adjacent benign salivary gland neoplasia. In this article, we present a 77-year-old female case with a 10-year history of a slow-growing mass of the left parotid gland of SPA presenting with a Warthin tumor. The patient underwent left superficial parotidectomy. The histopathological examinati...

This case report highlights an unusual case where a foreign body in the parotid gland was initially thought to be sialolithiasis based on CT scans. The foreign body was safely retrieved from the parotid gland without formal superficial parotidectomy using methylene blue and an image intensifier to localize the lesion. Diagnosis and management of foreign bodies in the parotid gland are reviewed,...