腮腺手术中寻找面神经技巧初探  

Methods for exposure of the facial nerve in parotid gland surgery

作　　者：王晓侠[1,2] 姚小宝[1] 李宏慧[1] 白艳霞[1] 张少强[1] 申震[1] 李白芽[1] 

机构地区：[1]西安交通大学第一附属医院耳鼻喉科,陕西西安710061 [2]解放军第451医院耳鼻喉科,陕西西安710054

出　　处：《山东大学耳鼻喉眼学报》2015年第4期48-50,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的总结腮腺手术中安全快捷地寻找面神经的方法。方法回顾分析1994年至2014年西安交通大学第一附属医院耳鼻喉科收治的810例良性腮腺肿瘤或囊肿的病例资料。结果术中465例采用总干法寻找面神经,其中11例未找到面神经总干而改用他法,3例术中损伤面神经总干;138例采用颧支法寻找面神经,均成功确认神经,无术中医源性损伤;74例采用下颌缘支法,均成功确认面神经,8例术中损伤;133例采用颊支法,均成功确认神经,5例术中损伤。结论腮腺手术中应以固定的解剖标志寻找面神经,首选总干法及颧支法,尽量避免下颌缘支法,但也要根据患者的具体情况采用合适的方法。Objective To explore the parotid gland surgery in a safe and efficient way to expose the facial nerve.Methods A total of 810 benign parotid gland cases were retrospectively analyzed,they were respectively treated by the methods of total trunk,zygomatic branch,mandibular margin and buccal branch to locate the facial nerve. Results A total of 465 cases were treated by the total tunk method,11 cases of them were not found with this method and then were found with other methods,and 3 cases of them were injuried the facial nerve trunk; 138 cases were exposured the facial nerve successfully with the zygomatic branch method; 74 cases were exposured successfully with the mandibular margin method,8 cases of them had intra-operative injury; 133 cases were exposured successfully with the buccal branch method,5 cases of them had intra-operative injury. Conclusion Parotid gland surgery at a fixed anatomic mark is good at searching the facial nerve. In according to the actual circumstances of the patients,surgeons should use comprehensive methods to expose the facial nerve in a safe and quick way.

关 键 词：腮腺切除术 面神经 外科手术 

分 类 号：R748[医药卫生—神经病学与精神病学]