摘要
目的:探讨功能性手术在腮腺浅叶良性肿瘤治疗中的应用。方法:从手术切口、耳大神经保留、区域性面神经解剖、腮腺浅叶部分切除术和凹陷性畸形整复等多个方面对腮腺浅叶良性肿瘤的手术方法进行改良和综合应用。回顾分析21例患者术后复发率及术后功能、并发症的情况。结果:随访未见肿瘤复发,无明显凹陷畸形,保留耳大神经者耳周感觉异常区域较未保留耳大神经者缩小。4例发生暂时性面瘫,均在3个月内恢复。1例进食时颜面潮红。1例术后涎漏发生。结论:对于腮腺浅叶良性肿瘤,在掌握适应证的基础上,采用功能性手术可以获得与浅叶切除术相当的术后复发率,并在术后腮腺功能、外形、暂时性面瘫和味觉出汗综合征发生率方面优于浅叶切除术,提高患者术后生活质量。
Objective：To investigate the utilization of functional surgery in benign parotid tumor of superficial lobe.Method：Conventional parotidectomy were modified in the following aspects： incision,preservation of great auricular nerve,local facial nerve dissection,partial superficial parotidectomy and repairing of sunken deformity.The post-operative recurrence incidence,functional outcomes and complications of 21 patients with benign parotid tumor of superficial lobe undergoing functional surgery were analyzed retrospectively.Result：No recurrence of tumor was found in follow-ups.No obvious scar and sunken deformity was found.The area with abnormal sensory around the auricle was smaller compared with those whose great auricular nerve had not been preserved.Post-operative transient facial paralysis was observed in 4 cases and all recovered in 3 months.One case complained about Frey＇s syndrome.Salivary leakage was found on 1 case.Conclusion：Compared with conventional surgery,functional surgery for benign parotid tumor of superficial lobe may improve cosmetic,sensory,salivary function,facial nerve function and quality of life without raising post-operative recurrence.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第15期678-680,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
腮腺切除术
功能性手术
腮腺良性肿瘤
面神经
并发症
parotidectomy
functional surgery
benign parotid tumor
facial nerve
complication
