胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用  

Application of sternocleidomastoid Flap in operation on parotid benign tumor

作　　者：王磊[1] 吕改玲[2] 

机构地区：[1]漯河市中心医院口腔颌面外科,河南漯河462000 [2]漯河市中心医院儿科

出　　处：《中国美容医学》2013年第15期1604-1606,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用效果。方法:196例腮腺良性肿瘤患者随机分为对照组和实验组。对照组75例,采用常规手术方法切除腺体和肿瘤后,遗留凹陷处不做任何处理。实验组121例,应用胸锁乳突肌瓣修复腺体和肿瘤切除后遗留的凹陷缺损。病例随访6～48个月。结果:实验组患者术后面部凹陷畸形、Frey综合征及涎瘘的发生率均显著低于对照组患者(P<0.01)。结论:胸锁乳突肌瓣能够显著改善腮腺良性肿瘤切除术后面部凹陷畸形,明显降低Frey综合征及涎瘘的发生率,值得在临床上推广应用。Objective To investigate the clinical values of sternocleidomastoid flap s in operations on parotid benign tumors. Methods 196 cases with parotid benign tumors were randomly divided into experimental group and control group.The control group （75cases） were treated with traditional parotidectomy, while patients in experimental group （121cases） were treated with modified parotidectomy including repairng the soft tissue defects by sternocleidomastoid muscle flap.The postoperative follow - ups of all 196 cases ranged from 6months to 48 months. Results Incidence rate of sunken deformities, Frey＇s syndrome and salivary fistula in experimental group was inificently lower than that in control group （P〈0.01）. Conclustion Sternocleidomastoid muscle flap is effective to correct the deformity of the face after parotidectomy and decrease the occurrence of Frey＇s syndrome and salivary fistula.

关 键 词：胸锁乳突肌瓣 腮腺良性肿瘤 凹陷畸形 FREY综合征 涎瘘 

分 类 号：R782[医药卫生—口腔医学]