摘要
目的:探讨耳后区和口内联合进路切除下颌下腺的可行性及美容效果。方法:对9例下颌下腺良性病损(4例下颌下腺炎并结石,3例慢性下颌下腺炎,2例多形性腺瘤)患者,采用耳后区切口和口腔内切口作下颌下腺切除术。结果:全部患者的下颌下腺被完整切除,切口愈合良好,无面神经下颌缘支和舌神经损伤。经平均6个月观察,肿瘤无复发,瘢痕隐蔽。结论:经耳后区和口内联合进路切除下颌下腺良性病损是可行的,可获得较理想的美容效果。
PURPOSE: This study evaluates the feasibleness and the outcome of a combined retroauricular and intraoral approach for removal of the submandibular gland. METHODS: Nine operations for patients with submandibular gland benign lesions (4 sialoadenitis with sialolithiasis, 3 chronic sialoadenitis, and 2 pleomorphic adenomas) were performed by a combined retroauricular and intraoral approach. The patients were followed up for an average period of 6 months. RESULTS: All nine submandibular sialadenectomy were successfully performed. All the wounds healed without any problem. No patient suffered from weakness of the marginal mandibular branch of the facial nerve and lingual nerve paralysis. During the follow-up period, no recurrence of the tumors occurred. The incisions scar was invisible. CONCLUSION: Resection of the submandibular gland by combined retroauricular and intraoral approach is feasible and can provide an acceptable cosmetic outcome for submandibular gland benign lesions.
出处
《中国口腔颌面外科杂志》
CAS
2007年第5期344-346,共3页
China Journal of Oral and Maxillofacial Surgery
关键词
下颌下腺切除术
耳后区进路
口内进路
Submandibular sialadenectomy
Retroauricular approach
Intraoral approach