胸锁乳突肌肌瓣修复腮腺肿瘤切除术后组织缺损  

Sternocleidomastoid muscle flap in parotidectomy

作　　者：廖圣恺[1] 李建成[1] 张凯[1] 徐锦程[1] 徐涛[1] 陈永峰[1] 

机构地区：[1]蚌埠医学院第一附属医院口腔科,安徽蚌埠233004

出　　处：《临床医学》2009年第12期27-28,共2页Clinical Medicine

摘　　要：目的探讨腮腺肿瘤手术中即刻修复面部凹陷畸形,以降低术后味觉出汗综合征(Frey’s综合征)的一种手术术式。方法选择2006年1月至2009年1月我院腮腺肿瘤住院手术患者68例,随机分为实验组48例,对照组20例,实验组病人按常规"S"切口施行腮腺肿瘤加腮腺浅叶或全叶切除术,同期行胸锁乳突肌肌瓣转移修复术;对照组则不行同期肌瓣修复,经随访对比观察6个月～3年。结果对照组局部凹陷畸形发生率为90%(18/20),Frey综合征发生率为55%(11/20);实验组局部凹陷畸形发生率为16.67%(8/48),Frey’s综合征发生率为8.33%(4/48),经统计学处理差异有统计学意义(P<0.01)。结论胸锁乳突肌肌瓣转移修复术是一种即刻修复腮腺肿瘤术后面部凹陷畸形和降低Frey综合征的较好术式。Objective To study a new method for immediately repair of facial depression and reduce Frey＇ s syndrome after parotid resection. Methods Choose 68 cases of parotid gland tumors from January 2006 to January 2009 in oral and maxillofacial surgery of the first hospital affiliated Bengbu medical college, the cases were divided into two groups, one group with 20 patients was only treated with parotid tumor resection plus superficial lobectomy or parotidectomy, the other group was done with sternocleidomastoid muscle flap transfer during parotidectomy at the same time. The effect of treatment was observed by followed up from six months to three years. Results The incidences of facial depression and Frey＇ s syndrome were 16.67% （8/48） and 8.33% （4/48） in the experimental group. They were obviously different in the groups. Conclusion The method is an ideal operation with functional recovery, the sternocleidomastoid muscle flap transfer can obviously improve post -operative deformity, and prevent the incidence of Frey＇ s syndrome.

关 键 词：胸锁乳突肌肌瓣 腮腺 手术 

分 类 号：R739.8[医药卫生—肿瘤]