摘要
目的：探讨择区性颈清扫术治疗复发性鳃裂畸形的疗效。方法：回顾性分析18例复发性鳃裂畸形病例资料。根据鳃裂畸形的胚胎学和解剖学特点,选择不同类型的择区性颈清扫术式治疗。手术解剖、保护重要的血管神经,应用整块切除原则根除病变组织、瘢痕、炎性肉芽。结果：18例患者中,16例切口Ⅰ期愈合,2例术后切口局部感染,经换药后愈合。1例复发性第一鳃裂瘘管术后出现暂时性面瘫,术后2个月完全恢复。1例复发性第四鳃裂瘘管,术后出现暂时性声带麻痹,1个月后恢复。随访12~78个月,平均35个月,所有病例未见复发。结论：择区性颈清扫术治疗复发性鳃裂畸形,安全、有效。
Objective：To evaluate the role of selective neck dissection in the treatment of recurrent branchial anomalies.Method：The clinical data of 18 patients with recurrent branchial anomalies were retrospectively analyzed.In accordance with the embryologic and anatomic features of branchial anomalies,different types of selective neck dissection were applied.With dissection and protection of important vessels,nerves and other structures,enbloc resection principles were applied to extirpate branchial lesions,scarrings and inflammatory granuloma during the operation.Result：Of all 18 patients,16 cases were healed with primary healing,2 cases with local incision infection were healed after dressing changes.A temporary facial nerve paralysis occurred in 1 case with recurrent first branchial cleft fistula postoperatively,and completely recovered 2 months after operation.A postoperative temporary vocal cord paralysis occurred in 1 case with recurrent fourth branchial cleft fistula,and totally recuperated 1 month after operation.No recurrences were found in all 18 cases with a follow-up period of 12-78 months（average 35 months）.Conclusion：Selective neck dissection is a safe and effective surgical procedure for the radical treatment of recurrent branchial anomalies.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第2期51-53,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
复发性鳃裂畸形
择区性颈清扫术
面神经麻痹
声带麻痹
recurrent branchial abnormalies
selective neck dissection
facial paralysis
vocal cord paralysis
