副腮腺肿瘤切除的手术入路  

Operative approaches for resection of tumors in the accessory parotid gland

作　　者：布静秋[1] 黄雪蕾[1] 陈鹏[1] 刘洪臣[1] 

机构地区：[1]解放军总医院口腔颌面外科,北京100853

出　　处：《现代口腔医学杂志》2009年第6期567-569,共3页Journal of Modern Stomatology

摘　　要：目的探讨副腮腺肿瘤外科治疗的最佳手术入路。方法对笔者近年所做的9例副腮腺肿瘤手术入路分别采用了延长的腮腺切除手术入路;肿瘤表面皮肤纹理的直接手术入路以及耳前发际内的角形切口手术入路三种方法。结果上述3种不同的手术入路在手术损伤大小、切口隐蔽、副腮腺肿瘤的术野显露以及并发症的发生率等方面存在明显差异。结论耳前角形切口应作为副腮腺肿瘤切除的首选手术入路,它具有更好的美容及手术治疗效果。Objective To study the operative approaches for resection of tumors in the accessory parotid gland. Methods Three operative approaches including extended parotid incision, direct incision over the mass and preauricular hairline rectangular incision were used in 9 cases suffered from tumors of the accessory parotid gland. Results Three operative approaches of accessory parotid gland lesions above - mentioned were analyzed. There were obviously differences among three surgical incisions in aspects of operative injury, scar of incision, operative exposure and complications. Conclusion The optimal surgical approach for resection of tumors in the accessory parotid region is preauricular hairline rectangular incision, which could provide a better margin of resection and minimizes cosmetic deformities.

关 键 词：肿瘤 副腮腺 手术入路 角形切口 

分 类 号：R739.8[医药卫生—肿瘤]