论文部分内容阅读
目的:改良腮腺肿瘤手术方法,以期最大程度恢复术后患者美容及功能。方法:采用以下改良术式:①采用隐蔽的面部除皱切口,避免了常规术式的颈部切口;②采用总干法解剖面神经,减少了面神经周围支损伤的机率;③保留耳大神经,避免术后耳垂麻木;④采用口腔修复膜,减少了术后Frey综合征的发生;⑤采用蒂在上方的胸锁乳突肌肌瓣填塞腮腺切除后的凹陷区,避免了常规术式后的面部畸形。结果:采用该方法对36例患者行腮腺切除术,术后随访6月～4年,患者面部疤痕不明显,外形恢复良好,无面瘫,无Frey综合征出现。结论:改良的腮腺切除术克服了传统术式的缺陷,值得进一步推广和普及。
OBJECTIVE: To improve the surgical method of parotid gland tumor in order to maximize the postoperative patients’ beauty and function. Methods: The following improved surgical procedures: ① using a concealed facial wrinkles incision, to avoid the conventional surgical neck incision; ② using the total dry anatomical facial nerve, reducing the peri-facial nerve injury injury probability; ③ retaining the great auricular nerve, To avoid postoperative numbness of the earlobe; ④ the use of oral repair of the film, reducing the incidence of postoperative Frey syndrome; ⑤ pedicle sternocleidomastoid muscle flap at the top of the parotid gland resection of the depression, to avoid the conventional postoperative Facial deformity. Results: Thirty-six patients underwent parotidectomy. The patients were followed up for 6 months to 4 years. The facial scars were not obvious and the appearance recovered well. There was no facial paralysis and no Frey syndrome. Conclusion: The modified parotidectomy to overcome the shortcomings of the traditional surgical procedures, it is worth further promotion and popularization.