腮腺多形性腺瘤行浅叶切除术后,复发率为1～3％。肿瘤复发后在有面神经的疤痕术区再行手术往往有一定困难。对累及面神经的复发肿瘤的手术治疗,目前意见尚未统一。有些学者主张切除全部肿瘤及其周围组织,包括受累的面神经分支;另一些学者则建议作保留面神经的腮腺全部切除术,术后追加放疗。以防止邻近面神经鞘的残余肿瘤复发。作者复习21例保留面神经的腮腺次全切除术后复发的多形性腺瘤病例,全部病例均采用保留面神经的肿瘤次全切除,术后追加放疗(50～67Gy,平均50.5Gy)。21例患者中,男性15例,女性6例,年龄17～53岁(平均33.7岁)。随访2～11年(平均随访期5.9年)。4例患者在手术结束时面神经周围仍有可见肿瘤,治疗后有3例复发;17例患者 After resection of parotid pleomorphic adenomas, the recurrence rate was 1-3%. After recurrence of the tumor, it is often difficult to perform surgery again in the scar area of ​​the facial nerve. For the surgical treatment of recurrent tumors involving the facial nerve, the current opinion has not been unified. Some scholars have advocated the removal of all tumors and their surrounding tissues, including the affected facial nerve branches. Other scholars suggest that all parotid glands should be reserved for facial nerve preservation and additional radiotherapy should be performed after surgery. To prevent the recurrence of residual tumors near the facial nerve sheath. The authors reviewed 21 cases of pleomorphic adenomas who had recurrent facial nerves after parotid gland resection. All patients were treated with subtotal resection of preserved facial nerves and postoperative additional radiotherapy (50-67 Gy, average 50.5 Gy). Among 21 patients, there were 15 males and 6 females, aged 17 to 53 years (average 33.7 years). Follow up for 2 to 11 years (average follow-up period of 5.9 years). Four patients had visible tumors around the facial nerve at the end of surgery. Three patients had recurrence after treatment. Seventeen patients