保留腮腺咬肌筋膜加胸锁乳突肌肌瓣在腮腺手术中的应用  

Preservation of parotid masseter fascia and sternocleidomastoid muscle flap in parotid gland surgery

作　　者：王益华[1] 

机构地区：[1]菏泽市立医院口腔科,山东菏泽274031

出　　处：《局解手术学杂志》2014年第2期150-151,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的：探讨保留腮腺咬肌筋膜加胸锁乳突肌肌瓣对预防面部凹陷畸形及味觉出汗综合征的临床效果。方法选择腮腺良性肿瘤的患者110例，随机分为治疗组56例和对照组54例，治疗组保留腮腺咬肌筋膜并即刻行胸锁乳突肌肌瓣充填，对照组常规方法行腮腺肿瘤切除术，术后随访观察疗效。结果经术后3-24个月随访，所有手术均获得成功，保留腮腺咬肌筋膜加胸锁乳突肌肌瓣的手术方法在面部凹陷畸形的改善效果及味觉出汗综合征发生率均优于对照组（P〈0.01）。结论保留腮腺咬肌筋膜加胸锁乳突肌肌瓣可作为修复腮腺术后畸形及预防味觉出汗综合征的优先选择。Objective To evaluate the clinical effect of preservation of parotid masseter fascia and sternocleidomastoid muscle flap in preventing facial concave deformity and Frey’ s syndrome. Methods 110 patients with parotid gland benign tumor were selected and ran-domly divided into treatment group（56 cases） and control group（54 cases）. The treatment group was filled with sternocleidomastoid muscle flap at once and remained parotid masseter fascia in operation. The control group got parotidectomy only. All the cases were followed-up. Re-sults All the cases were successful during a follow-up period of 3-24 months. The treatment group was better than the control group at pre-venting facial concave deformity and Frey’s syndrome （P〈0. 01）. Conclusion Preservation of parotid masseter fascia and sternocleido-mastoid muscle flap can be the priority selection in improving facial concave deformity and preventing Frey’ s syndrome.

关 键 词：腮腺 胸锁乳突肌肌瓣 腮腺咬肌筋膜 味觉出汗综合征 

分 类 号：R782[医药卫生—口腔医学]