解剖面神经下颌缘支在腮腺部分切除术中的应用  

Anatomy of marginal mandibular branch of facial nerve in partial parotidectomy

作　　者：李烁[1] 高春生[1] 杜政德[1] 杨琼[1] 刘飞[1] 张全明[1] 张小萌[2] 

机构地区：[1]广东医学院附属深圳南山医院耳鼻咽喉科,广东深圳518052 [2]华中科技大学同济医学院附属协和医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉头颈外科杂志》2014年第24期1949-1951,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨解剖面神经下颌缘支在腮腺部分切除术中的临床应用。方法：回顾性分析采用下颌缘支逆行法解剖面神经的腮腺部分切除术38例的临床资料。结果：全组患者随访1~3年肿瘤无复发,2例发生暂时性面瘫,2例出现味觉出汗综合征。结论：采用解剖面神经下颌缘支的腮腺部分切除术治疗直径小于5cm的腮腺良性肿瘤,手术创伤小,并发症少,值得临床推广。Objective： To study our experiences in anatomy of marginal mandibular branch of facial never in partial parotidectomy. Method： Thirty-eight cases receiving partial parotidectomy were analyzed retrospectively, and marginal mandibular branch of facial nerve were separated in all cases. Result： Temporary facial paralysis ap- peared in 2 cases and Freyrs syndrome appeared in 2 cases. There was no patient appeared the recurrence in the 1- 3 years followed up time. Conclusion： Partial parotidectomy with anatomy of marginal mandibular branch of fa- cial nerve is a safe, effective and minimally invasive therapeutic method for benign tumor on par0tid gland （〈5 cm）.

关 键 词：面神经 下颌缘支 腮腺肿瘤 腮腺部分切除术 

分 类 号：R739.8[医药卫生—肿瘤]