改良耳周切口在功能性腮腺切除术中的应用

发布时间：2019-07-12 17:09

【摘要】：目的:评价改良耳周切口在腮腺浅叶肿瘤切除术中的应用价值。方法:采用改良耳周切口,实施功能性腮腺切除术16例,观察该入路的术野暴露、美观程度及面瘫、Frey′s综合征、耳垂麻木、涎瘘等并发症的发生率。结果:所有病例术野暴露良好,均完整切除肿瘤。术后面神经暂时性麻痹2例(12.5%),暂时性耳垂麻木6例(37.5%),均在1~3个月后缓解;无涎瘘及Frey′s综合征发生。术后3个月患者平均客观美容满意度评分9.2分,所有患者对术后美容效果满意。随访6~30个月,中位随访期22个月,未见肿瘤复发。结论:改良耳周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 periauricular incision in parotidectomy. Methods: 16 cases of functional parotidecectomy were performed with modified periauricular incision. The incidence of complications such as surgical field exposure, aesthetic degree and facial paralysis, Frey's syndrome, earlobe numbness and saliva fistula were observed. Results: the surgical field was well exposed and the tumor was resected completely. Temporary paralysis of nerve was found in 2 cases (12.5%) and temporary numbness of earlobe in 6 cases (37.5%), all of which were relieved after 1 鈮，

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