改良耳周切口在功能性腮腺切除术中的应用

吴平安; 梁伟英; 陆钊群; 梁秀妮; 曾敬贤

doi:10.13201/j.issn.1001-1781.2017.13.006

改良耳周切口在功能性腮腺切除术中的应用

- 香港大学深圳医院耳鼻咽喉头颈外科(广东深圳, 518053)
基金项目:
深圳市卫生计生系统科研项目（No：201607027）；深圳市科技计划项目（No：JCYJ20160429190356200）

详细信息

通讯作者: 曾敬贤,E-mail:rkytsang@hku-szh.org

中图分类号: R739.6

收稿日期: 2017-04-28

Functional modified periauricular incision in parotidectomya

- Department of Otolaryngology-Head and Neck Surgery, the University of Hong Kong-Shenzhen Hospital, Shenzhen, 518053, China

More Information

Corresponding author: RAYMOND K. TSANG, E-mail: rkytsang@hku-szh.org

Received Date: 28 April 2017

摘要

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。
- 腮腺良性肿瘤 /
- 腮腺手术 /
- 改良面部除皱切口 /
- 改良耳周切口 /
- 美容
Abstract: Objective: The purpose of this study was to present the usefulness of modified periauricular incision in parotid surgical procedures.Method: Sixteen consecutive partial superfacial parotidectomies were performed using modified periauricular incision. Clinical evaluation of cosmetic satisfaction, incidence of complications such as Frey`s syndrome, facial nerve palsy, earlobe numbness and salivary fistula were observed.Result: The parotid tumors were removed in all cases with need for any further skin procedures, as the incisions produced a good aesthetic result. The average scale of cosmetic satisfaction are 9.2.Temporary paralysis of the facial nerve were found in two patients, and six patients felt numbness around earlobe after operation. Hey all recovered in 1 to 3 months after surgery. All patient healed without salivary fistula and Frey`s syndrome. No recurrence was happened during follow-up in 6 to 30 months(median follow-up period was 22 months).Conclusion: The results of the present study indicate that modified periauricular incision have a high-quality and highly aesthetic option for surgical procedures concerning benign conditions of the parotid gland.
- parotid benign tumor /
- parotidectomy /
- modified periauricular incision /
- modified rhytidectomy incision /
- cosmetic

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参考文献(8)

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