摘要
目的评价改良耳周切口在腮腺良性肿瘤切除术中应用的临床效果。方法 32例腮腺良性肿瘤患者,应用改良耳周切口行区域性腺体切除术、保留面神经和耳大神经的腮腺良性肿瘤切除术。术后随访,观察改良耳周切口的美观度及临床疗效。结果所有患者均临床Ⅰ期愈合,无涎瘘发生。随访3～36个月,患者术后切口隐蔽,瘢痕小,腮腺区凹陷畸形不明显;无1例复发;有1例患者出现Frey’s综合征;5例患者术后出现耳垂麻木,术后3～10个月内逐渐得到恢复。对32例患者行面神经功能评价:3例患者House-Brackmann分级为Ⅱ级,其余均为Ⅰ级。患者对切口的美观度比较满意。结论改良耳周切口隐蔽,瘢痕小,并发症低于传统术式,术后美容效果理想。
Objective To evaluate tile clinieal effect of tile modified ensmetic periotie incision in parotidectomy of be- nign tumor. Methods Thirty-two patients with benign parotid tumor were reviewed in this study. Parotidectomy was de- signed and modified as follows ： a modified periotic incision was used, and regional excision of parotid gland was applied ; meanwhile the preservation of facial nerve as well as great auricular nerve was carried out in parotideclomy of benign tumor. The follnw-up study included the cosmetic effct of this incision and the clinical effect. Results The modified cosmetic incision healed uneventfully in all patients without salivary fistulae. After a follow-up of 3-36 months, all the pa- tients showed results with no obvious scar and sunken defiH＇mity left in face and submandibular region. One patient has presented with clinical Frey＇ s syndrome. Five patients felt numb in ear lobe and the symptom was disappeared in 3-10 months post-operation. The facial nerve functional evaluation in 32 eases were grade I , and ira 3 cases were grade Ⅱ. All the patients were highly satisfied with this modified incision. Conclusion The trauma and complications were re- duced ira the new technique. This modified periotie cosmetic incision could achieve a better facial cosmetic result in the parotid gland surgery.
出处
《广东牙病防治》
2012年第9期481-484,共4页
Journal of Dental Prevention and Treatment
关键词
腮腺
良性肿瘤
面神经
改良切口
腮腺肿瘤
面神经
美学
Parotid gland
Benign tumor
Facial nerve
Modified incision Parotid neoplasms
Facial nerve
Esthetics
