老年重症慢性阻塞性腮腺炎手术方式的探讨  

A Clinical Study on Modified Parotidectomy in elder patients with Chronic Obstructive Parotitis

作　　者：布静秋[1] 陈飞[1] 魏博[1] 陶敬桥[1] 

机构地区：[1]解放军总医院口腔颌面外科,副主任医师北京100853

出　　处：《中华老年口腔医学杂志》2012年第2期90-92,共3页Chinese Journal of Geriatric Dentistry

摘　　要：目的:通过术式改良找到一种既能手术治愈老年重症慢性阻塞性腮腺炎又能利用自体组织减小术后面部畸形的手术方式。方法:选择21例重症慢性阻塞性腮腺炎的老年患者,采用保留腮腺表面后区腮腺咬肌筋膜及相应筋膜下少量腺体组织瓣的方法,修复切除腮腺病变组织后所致的凹陷畸形。结果:21例老年重症慢性阻塞性腮腺炎患者手术后疾病全部治愈,新术式不但修复了的腮腺区术后畸形,部分患者术后腮腺区的形态恢复到发病前的正常面型。结论:新术式与传统术式相比既解决了患者的痛苦又避免了腮腺区术后凹陷畸形的发生,是治疗老年重症慢性阻塞性腮腺炎较佳的术式选择。Objective： To explore a novel surgery method with advantages of curing chronic obstructive parotitis in elderly patients effectively and forming less facial deformity. Methods： 21 cases of eider patients with chronic obstructive parotitis were chose and performed by the method of preserving parotid fascia in posterior parotid surface and small salivary tissue under fascia, removing lesion tissues, in order to forming less facial deformity. Results： It has been shown that all subjects healed well after surgery and the clinical effect of repairing facial deformity was satisfactory. Conclusion： The novel modified operation was showed to be a favourable method for curing chronic obstructive parotitis in elderly patients.

关 键 词：老年人 慢性阻塞性腮腺炎 手术方式 腮腺咬肌筋膜 

分 类 号：R782[医药卫生—口腔医学]