腮腺手术中耳大神经的解剖与保留  

Dissection and preservation of the great auricular nerve in parotidectomy

作　　者：俞辉明[1] 杨建荣[2] 房进[1] 

机构地区：[1]南京医科大学附属淮安第一医院口腔颌面外科,淮安223300 [2]江苏省口腔医院口腔颌面外科,南京210029

出　　处：《口腔医学》2011年第12期740-742,共3页Stomatology

摘　　要：目的对腮腺手术患者的耳大神经进行解剖和保留,观察术后疗效。方法腮腺手术患者60例,术中对耳大神经的位置、毗邻、走向、分支、分布进行了解剖观察,并予保留耳大神经,术后观察患者耳大神经支配区感觉恢复情况。结果耳大神经的分支、分布有规律性;术后患者耳大神经支配区的感觉多数在3个月内完全恢复。结论耳大神经及其分支的保留,能显著降低术后并发症,明显提高患者术后的生活质量。腮腺手术中耳大神经应和面神经一样常规进行解剖和保留;专科教材中对于耳大神经应详细介绍。Objective To investegate the life quality of patients after parotid surgery with great auricular nerve anatamized or re- served. Methods Sixty patients were chosen to anatomize or reserve the great auricular nerve in operations from 2003 to 2010, to ob- serve the nerve＇s position, adjacency, course, branches and distribution. Through observation and follow - up visit after operation, the sensory recovery information of the parts innervated by the great auricular nerve were surveyed. Rusults The regularity of branches and distribution were observed. The sensory parts innervated by the great auricular nerve became normal about 3 months after opera- tion. Conclusions Preservation of the great auricular nerve and it~ branches in parotidectomy can reduce complications and improve patients＂ quality of life obviously. The great auricular nerve should be anatomized and reserved just as facial nerve. The great auricular nerve should be introduced in details in the teaching materials.

关 键 词：腮腺切除术 耳大神经 功能性外科 

分 类 号：R782.7[医药卫生—口腔医学]