摘要
目的:介绍一种改良手术切除腮腺良性肿瘤的方法。方法:采用隐蔽的面部除皱切口,清晰解剖并保留耳大神经后支;根据肿瘤位置,选择性逆行解剖面神经周围支,行保留腮腺主导管的腮腺浅叶部分切除术;胸锁乳突肌瓣充填术区缺损,并作为阻断副交感神经与节后交感神经纤维互相吻合的屏障;术后放置负压引流管。结果:36例均顺利完成手术,出现暂时性面神经功能减弱者5例,随访1～3年无复发;无一例发生Frey综合征及涎漏,术后耳垂感觉完全恢复,残留腮腺功能保留良好,美容效果满意率100%。结论:改良的腮腺切除术,克服了传统术式的缺憾,降低了术后并发症发生率,值得临床推广。
Objective：To describe a modified technique of benign parotid tumors.Methods：Using a face-life incision,the greater auricular nerve was exposed and repaired.According to the position of the tumor,the facial nerve surrounding the branch was selectively retrograded and anatomized,and a partial ectomy of the superficial part of the parotid gland main catheter was performed,keeping the parotid gland.A sternocleidomastoid flap is then transplanted to fill the surgical defect and block the anastomosis between the fibers of the parasympathetic nerve and sympathetic nerve as a mechanical barrier,using the suction drain postoperatively.Results：Thirty-six patients received modified parotidectomy,and all operations were successful.Temporary moderate facial palsy occurred in 5 patients.All patients were followed up for 1-3 years;none of them developed Frey＇s syndrome or salivary fistula.Further,earlobe sensation recovered completely.The function of the rest of the parotid gland was maintained,and all patients had a satisfactory opinion of their post-operation cosmetic appearance.Conclusions：A modified parotidectomy technique greatly reduces the disadvantages of traditional parotidectomy techniques.A long-term follow-up is needed before the technique can be used as a conventional technique.
出处
《蚌埠医学院学报》
CAS
2007年第5期579-581,共3页
Journal of Bengbu Medical College
