改良面部除皱切口在腮腺浅叶肿瘤切除术中的应用

发布时间：2018-02-15 14:11

本文关键词： 腮腺手术改良面部除皱切口改良Blair切口面神经美容　出处：《临床耳鼻咽喉头颈外科杂志》2014年10期 　论文类型：期刊论文

【摘要】：目的:评价改良面部除皱切口在腮腺浅叶肿瘤切除术中的应用价值。方法:采用改良面部除皱切口,实施面神经解剖加腮腺浅叶部分(或腮腺浅叶)切除术35例,观察该入路的术野暴露、美观程度及并发症发生率。结果:所有病例术野暴露良好,均完整切除肿瘤。术后面神经下颌缘支暂时性麻痹5例(14.3%),暂时性耳垂麻木6例(17.1%),均在1~3个月后缓解;无涎瘘;术后3个月患者平均客观美容满意度评分8.5分,所有患者对术后美容效果满意。随访24~60个月(中位随访期:48个月),未见肿瘤复发。结论:改良面部除皱切口应用于腮腺浅叶肿瘤切除,术野暴露良好、切口相对隐蔽、术后美容效果良好、无明显并发症,值得临床推广应用。
[Abstract]:Objective: to evaluate the value of modified facial wrinkle removal incision in the resection of superficial parotid lobectomy. Methods: the facial nerve anatomy and parotid gland superficial lobectomy were performed in 35 cases. The surgical field exposure, aesthetic degree and incidence of complications were observed. Results: all cases were well exposed. 5 cases of temporary palsy of mandibular marginal branch of facial nerve and 6 cases of temporary ear lobe numbness were relieved after 1 ~ 3 months, without salivary fistula, and the average score of objective beauty satisfaction was 8.5 points in 3 months after operation, and 5 cases of temporary palsy of the mandibular marginal branch of facial nerve and 6 cases of temporary numbness of ear lobe were relieved after 1 ~ 3 months. All the patients were satisfied with the cosmetic effect of the operation. All the patients were followed up for 24 ~ 60 months (median follow-up period: 48 months) without recurrence. Conclusion: the modified facial wrinkle removal incision was applied to the resection of superficial parotid lobectomy, the surgical field was well exposed, and the incision was relatively concealed. The cosmetic effect is good and there are no obvious complications after operation, so it is worth popularizing.
【作者单位】：惠州市中心人民医院耳鼻咽喉-头颈外科;广东省人民医院(广东省医学科学院)耳鼻咽喉-头颈外科;
【基金】：广东省科技计划项目(No:2011B080701035)
【分类号】：R739.8

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