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Dies gilt einerseits f\u00fcr die chirurgische Therapie von benignen und malignen Tumoren, andererseits auch f\u00fcr die Behandlung von obstruktiven und inflammatorischen Erkrankungen der Speicheldr\u00fcsen. Bei den Tumoren gab es mit der extrakapsul\u00e4ren Dissektion in den letzten 20\u00a0Jahren einen Shift zu einer Deeskalation der Fazialisdarstellung und einer Resektion mit einer geringen Morbidit\u00e4t. Bei den entz\u00fcndlichen und obstruktiven Erkrankungen haben sich minimal invasive Therapiemethoden seit den letzten 35\u00a0Jahren, insbesondere aber seit den letzten 10\u00a0Jahren durchgesetzt. Ziel der Arbeit ist es, ein Update \u00fcber die Speicheldr\u00fcsenchirurgie zu geben. Dabei besch\u00e4ftigt sich Teil\u00a01 mit der Chirurgie von Tumoren und Teil\u00a02 mit der Chirurgie von obstruktiven und inflammatorischen Erkrankungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materialien und Methoden<\/jats:title>\n                    <jats:p>Es handelt sich um eine Zusammenstellung der aktuellen Entwicklungen anhand der neuesten Literatur mit Fokus auf die letzten 10\u00a0Jahre und von eigenen Erfahrungen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Die extrakapsul\u00e4re Dissektion ist der superfiziellen Parotidektomie bei geeigneter Indikation in den Punkten Frey-Syndrom, Op.-Dauer, \u00e4sthetischer Aspekt sowie transiente und permanente Fazialisfunktion \u00fcberlegen. Bei malignen Tumoren ohne Infiltration des N.\u00a0facialis sollte der N.\u00a0facialis im Sinne einer kompletten Parotidektomie erhalten werden. Eine radikale Parotidektomie ist nur bei Fazialisinfiltration indiziert. Eine elektive ipsilaterale Neck-Dissection ist bei T3\/4-Tumoren, High-Grade-Karzinomen und adenoidzystischen Karzinomen indiziert. Die therapeutische und interventionelle Sialendoskopie und sialendoskopisch assistierte operative Verfahren dominieren die Therapie bei obstruktiven und inflammatorischen Speicheldr\u00fcsenerkrankungen und k\u00f6nnen auch bei Verletzungen des Speichelgangs von Bedeutung sein.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Die Indikationsstellung zur Operation und die Wahl der chirurgischen Technik sind von der Lage und der Dignit\u00e4t des Tumors abh\u00e4ngig. Aufgrund der skizzierten Entwicklungen ist eine Resektion der gro\u00dfen Kopfspeicheldr\u00fcsen bei obstruktiven bzw. inflammatorischen Erkrankungen in weniger als 5\u202f% der F\u00e4lle indiziert.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00106-026-01723-7","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T15:58:31Z","timestamp":1770911911000},"page":"606-623","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Update Speicheldr\u00fcsenchirurgie","Update on salivary gland surgery"],"prefix":"10.1007","volume":"74","author":[{"given":"Sarina K.","family":"M\u00fcller","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Koch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,12]]},"reference":[{"issue":"8","key":"1723_CR1","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1016\/j.ciresp.2019.03.006","volume":"97","author":"J Escrig Sos","year":"2019","unstructured":"Escrig Sos\u00a0J, Gomez Quiles\u00a0L, Maiocchi\u00a0K (2019) The 8th edition of the AJCC-TNM classification: New contributions to the staging of esophagogastric junction cancer. 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Elsevier Inc, Edinburgh, London, New York, Oxford, Philadelphia, St Louis Sydney","DOI":"10.1016\/B978-0-323-67236-8.00028-6"}],"container-title":["HNO"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00106-026-01723-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00106-026-01723-7","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00106-026-01723-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T15:01:43Z","timestamp":1787756503000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00106-026-01723-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,12]]},"references-count":163,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["1723"],"URL":"https:\/\/doi.org\/10.1007\/s00106-026-01723-7","relation":{},"ISSN":["0017-6192","1433-0458"],"issn-type":[{"value":"0017-6192","type":"print"},{"value":"1433-0458","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,12]]},"assertion":[{"value":"19 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"S.K.\u00a0M\u00fcller und M.\u00a0Koch geben an, dass kein Interessenkonflikt besteht.","order":1,"name":"Ethics","label":"Interessenkonflikt","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}}]}}