面神经解剖腮腺部分切除治疗第一鳃裂瘘管  

Facial nerve dissected and partial parotidectomy with fistula dissected to manage the first branchial cleft

作　　者：杨长东[1,2] 冯凌[1] 马泓智[1] 陈学军[1] 陈晓红[1] 房居高[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100853 [2]河北省秦皇岛市第一人民医院耳鼻咽喉头颈外科,秦皇岛066000

出　　处：《中华耳科学杂志》2012年第3期338-340,共3页Chinese Journal of Otology

基　　金：首都医学发展基金(编号:2009-339)

摘　　要：目的探讨面神经解剖腮腺部分切除并瘘管切除对第一鳃裂瘘管的手术效果。方法回顾性分析我们15例患者,男9例,女6例,病史1周～30年。9例有感染或手术史。所有患者均经下颌缘支或下颊支逆行解剖面神经颈面干及主干,切除颈面干下方及深叶腮腺及瘘管周围组织。结果随访12～60个月,14例无复发及再感染。无永久性面瘫发生。结论经下颌缘支或下颊支面神经逆行解剖,腮腺部分切除合并瘘管及周围组织切除,可彻底切除第一鳃裂瘘管。Objective To investigate the effect of facial nerve dissection and partial parotidectomy in surgical treat- ment of first branchial cleft fistula. Materials and Methods Fifteen patients with first branchial cleft fistula were treated by the authors （9 men and 6 women）. Disease course ranged from 1 week to 30 years. Nine patients had a history of previous in- fection or operation. During the surgery, the main trunk of the facial nerve was dissected, starting from the inferior buccal or sub-mandibular branch, and the inferior part and deep lobe of the parotid removed for complete dissection of the fistula and its surrounding soft tissue. Results All patients were followed up for 12 to 60 months and 14 patients experienced no recur- rence or local infection. There was no permanent paralysis of the facial nerve. Conclusion Partial parotidectomy with dissection of the facial nerve facilitates surgical treatment of first branchial cleft fistula.

关 键 词：第一鳃裂异常 手术 面神经 腮腺肿瘤切除手术 

分 类 号：R739.87[医药卫生—肿瘤]