Mini Incision Parotidectomy

Lub qog parotid yog lub qog salivary loj tshaj plaws hauv tib neeg lub cev, nyob tom qab lub puab tsaig nyob rau pem hauv ntej thiab hauv qab pob ntseg. Cov qog parotid tuaj yeem tsim cov qog. Parotidectomy yog ib qho kev phais mob uas tshem tawm tag nrho lossis ib feem ntawm qhov mob ntawm cov qog salivary. Ib txoj hlab ntsha hu ua lub paj hlwb ntawm lub ntsej muag hla dhau lub qog parotid, faib cov qog ua ob ntu: qhov superficial thiab qhov tob lobes, thiab muab cov leeg ntawm lub ntsej muag.

Ib tug superficial parotidectomy yog lub sij hawm kho mob rau kev phais kom tshem tawm cov qog los ntawm lub lobe superficial. Tag nrho cov parotidectomy yog hais txog kev phais kom tshem tawm cov qog los ntawm qhov tob tob lossis los ntawm ob qho tib si qhov tob thiab qhov tob tob. Parotidectomy yuav ua tau rau kev kho mob ntawm ntau cov qog nqaij hlav salivary thiab cov mob tsis zoo, nrog rau cov kab mob ntev los yog cov qog ua kua qaub.

Mini Incision Parotid Surgery yog dab tsi thiab nws txawv ntawm kev phais ib txwm ua li cas?

Parotidectomy yog ib qho ntawm cov txheej txheem Head & Caj dab uas feem ntau siv. Cov kws phais mob ntawm Apollo Tsev Kho Mob Karnataka tuaj yeem ua Mini Incision Parotidectomy Surgery hauv Bangalore los ntawm kev ua 2.5–3 cm phais tom qab lub pob ntseg, zais qhov caws pliav.

Qhov kev phais parotidectomy ib txwm pib ntawm pem hauv ntej ntawm lub pob ntseg, txuas ntxiv mus rau hauv qab lub pob ntseg, thiab tom qab ntawd nqis mus rau lub caj dab rau qhov deb ntawm 8 txog 10 cm. Tom qab phais, qhov kev phais no tso ib qho caws pliav tsis zoo nkauj rau ntawm lub ntsej muag thiab caj dab. Tsis zoo li qhov kev phais ib txwm, Mini Incision Parotid Surgery hauv Bangalore ua rau muaj qhov phais me me thiab zais uas yog 2.5-3cm ntev tom qab lub pob ntseg hauv qhov crease post-aural. Qhov ntau ntawm kev txiav cov qhov txhab yog tib yam, tab sis nws ua los ntawm lub qhov tseem ceeb, zoo ib yam li kev phais laparoscopic piv rau kev phais ib txwm muaj. Hom kev phais no ua rau muaj qhov caws pliav zais me dua, ntshav tsawg dua, rov zoo sai dua, thiab rov qab mus rau cov dej num ib txwm ua ntej.

Cov txheej txheem ua li cas?

Ua ntej kev phais

Ua ntej tus txheej txheem, tus kws kho mob yuav ua qhov kev ntsuam xyuas ua ntej kev phais thaum lawv yuav tshuaj xyuas tus neeg mob cov ntaub ntawv kho mob thiab piav qhia txog cov txheej txheem. Ob peb qhov kev kuaj ua ntej yuav ua tau ua ntej parotidectomy. Cov kev xeem no suav nrog:

1. Diagnostic imaging tests – Kev siv cov txheej txheem kuaj mob xws li suav tomography (CT) scans thiab magnetic resonance imaging (MRI) pab cov kws phais hauv kev nrhiav cov qog thiab daws txhua yam teeb meem. Kev thaij duab yog qhov muaj txiaj ntsig tshwj xeeb thaum cov qog nyob ze ntawm lub ntsej muag paj hlwb.
2. Biopsy - Fine-needle aspiration biopsy (FNA) yog cov txheej txheem biopsy feem ntau ua ntej parotidectomy. Tus kws kho mob tuaj yeem ua tus FNA ntawm cov qog kom kuaj pom muaj cov qog nqaij hlav cancer.

Tus neeg mob yuav tau txais cov lus qhia los ntawm tus kws kho mob txog yuav ua li cas npaj rau kev kho mob parotidectomy, suav nrog cov tshuaj twg yuav tsum noj lossis txiav tawm, thaum twg yuav tsum tsis txhob noj thiab haus ua ntej kev phais, thiab lwm yam ntsiab lus tseem ceeb.

Thaum Kev phais

Nyob rau hauv qhov kev phais no, tus neeg mob yuav tau txais ib tug general anaesthesia, uas yuav induce pw tsaug zog nyob rau hauv tag nrho cov txheej txheem .Surgeon muab qhov incision qab pob ntseg lobule. Thaum lub caj pas raug tshem tawm, qhov incision yog stitched rov qab ua ke. Kwv yees li 2 lub lis piam tom qab qhov txheej txheem, cov sutures yuav tsum tau muab tshem tawm. Thaum xaus ntawm qhov kev phais, ib lub raj me me tau muab tso rau ntawm daim tawv nqaij mus rau hauv qhov incision hauv qab ntawm daim tawv nqaij kom tshem tawm cov ntshav ntau ntxiv. Feem ntau, lub raj no raug tshem tawm thaum sawv ntxov tom qab kev phais.

Tom qab cov txheej txheem

Cov neeg mob yuav tsum tau siv ib hnub nyob hauv tsev kho mob rau Mini Incision Parotidectomy hauv Bangalore los ntawm kev phais tom qab lawv phais kom ntseeg tau tias lawv tau txais kev saib xyuas tom qab phais uas muaj kev nyab xeeb thiab zoo tshaj plaws. Thaum lub sijhawm no, cov tshuaj tua kab mob raug muab rau cov neeg mob kom txo lawv txoj kev pheej hmoo ntawm kev kis kab mob, thiab lawv txoj kev tswj qhov mob raug saib xyuas ze thaum lawv nyob hauv tsev kho mob.

Dab tsi yog qhov teeb meem ntawm Mini Incision Parotidectomy?

Cov kev pheej hmoo cuam tshuam nrog parotidectomy feem ntau tsawg heev. Txawm li cas los xij, yog tias muaj teeb meem tshwm sim, lawv tuaj yeem suav nrog:

1. Mob pob ntseg - Pob ntseg lobule loog yog tshwm sim tom qab Parotid phais ntawm pob ntseg yog tsawg heev.
2. Lub ntsej muag tsis muaj zog- Qhov muaj feem cuam tshuam ntawm lub ntsej muag tsis muaj zog ib ntus yog 5-10% thiab Permanent palsy tsawg dua 2% nrog mini-incision parotidectomy Permanent Palsy tuaj yeem tshwm sim tsuas yog hauv cov mob qog noj ntshav parotid uas kis tau los ntawm lub ntsej muag paj hlwb.
3. Seroma- Kev sau cov kua dej Serous tshwm sim hauv 5-10% Cov neeg mob ze ntawm qhov chaw sutures tom qab 3-5 hnub ntawm kev phais. Nws tau npog ntawm nws tus kheej hauv 1-2 lub lis piam thiab tsis xav tau kev kho mob tshwj xeeb.

Nws siv sijhawm ntev npaum li cas kom rov zoo tom qab Kev phais?

Rov qab tom qab cov txheej txheem Mini-incision yog luv heev. Tus neeg mob tuaj yeem rov pib ua haujlwm tom qab 2-3 hnub .Yog tias muaj qhov tsis muaj zog tuaj yeem txhim kho hauv 4-6 lub lis piam. Kev mob tom qab phais yog tsawg heev tom qab cov txheej txheem no.

Kev ua neej hloov pauv tom qab Parotid Gland Surgery

Kev hloov pauv hauv kev ua neej yuav tsim nyog rau kev rov qab los tom qab tshem tawm cov qog parotid. Txhawm rau txo kev ntxhov siab ntawm kev kho cov ntaub so ntswg, nws raug nquahu kom pib los ntawm kev zam kev ua ub ua no thiab ua raws li kev noj zaub mov mos. Kev kho lub cev thiab kev tawm dag zog lub ntsej muag tuaj yeem raug sau rau lub sijhawm kom rov ua kom cov leeg ua haujlwm ntawm lub ntsej muag. Txhawm rau kom rov zoo sai, nws yog ib qho tseem ceeb uas yuav tsum tau ceev faj txog cov tsos mob ntawm tus kab mob, o ntau dhau, lossis cov tsos mob txawv txawv thiab ceeb toom rau koj tus kws kho mob tam sim ntawd.

Cov txiaj ntsig ntawm Mini Incision Parotidectomy

• Me thiab tsawg intrusive incision - Qhov tsawg kawg nkaus invasive thiab me me incision ua rau txo qhov caws pliav, mob tsawg dua, txo cov nqaij ntshiv, txo cov ntshav, thiab lub sij hawm rov qab sai dua.
• Lub ntsej muag zoo nkauj - Qhov no pab kom ua tiav qhov sib npaug thiab zoo nkauj zoo nkauj.
• Txo qhov yuav tshwm sim ntawm Frey's syndrome - Kev phais parotid feem ntau ua rau muaj qhov tsis zoo thiab muaj kev phiv tshwm sim hu ua Frey's syndrome (hws thaum noj Mini-incision parotidectomy tsis ua rau Frey's syndrome .
• Cov teeb meem: Kev pheej hmoo ntawm cov teeb meem yog tsawg heev nrog kev phais parotid mini-incision .

Mini Incision Parotidectomy ntawm Apollo Tsev Kho Mob Karnataka

Tsev Kho Mob Apollo, Karnataka, yog lub tsev kho mob loj tshaj plaws thiab ntseeg siab tshaj plaws thaum nws los txog rau Mini Incision Parotidectomy hauv Bangalore . Peb cog lus tias yuav muab kev saib xyuas tus kheej thiab kev pabcuam rau cov neeg siv khoom zoo tshaj plaws. Peb tus kws phais ENT & Head Neck Oncosurgeon zoo tshaj plaws hauv Bangalore , mob siab rau kev xa cov txiaj ntsig zoo tshaj plaws thiab tau kawm tiav zoo. Peb lub tsev kho mob tau nruab nrog cov thev naus laus zis tshiab tshaj plaws thiab yog tib lub tsev kho mob zoo tshaj plaws hauv ntiaj teb uas muab Mini Incision Parotidectomy hauv ntiaj teb . Kev saib xyuas thaum muaj xwm txheej ceev thiab kev sab laj muaj nyob rau ntawm tsev kho mob thiab tuaj yeem teem sijhawm nrog kev hu xov tooj yooj yim.

– Dr. P Subramanya Rao