耳后发际联合耳屏缘切口在腮腺上极良性肿瘤切除术的应用  

Extracapsular dissection of the upper part of parotid gland benign tumor using a tragus edge combined retroauticular hairline incision approach

作　　者：陈仕生[1] 姚小武[1] 卢子正[1] 林敏校[1] 

机构地区：[1]汕头大学医学院第二附属医院口腔颌面外科,广东汕头515041

出　　处：《口腔疾病防治》2017年第6期398-400,共3页Journal of Prevention and Treatment for Stomatological Diseases

基　　金：广东省科技计划项目(2013B021800260)

摘　　要：目的探讨耳后发际联合耳屏缘切口在腮腺上极良性肿瘤切除术的临床效果。方法采用耳后发际联合耳屏缘切口对20例腮腺上极良性肿瘤行手术治疗并分析其疗效与美容效果。结果 20例患者腮腺上极良性肿瘤均被顺利完整切除,术中冰冻及术后常规病理报告均为良性。术后2例出现暂时性耳垂麻木,1例出现暂时性面神经颧支麻痹,1例发生术后涎瘘;所有病例无味觉出汗综合征、无术后出血、无皮瓣坏死等并发症,随访24~48月,未见复发,手术切口疤痕不明显,美容效果满意。结论腮腺上极良性肿物切除术应用耳后发际联合耳屏缘切口术式安全、可行,切口隐蔽。Objective To investigate the clinical effect of dissection in the upper part of parotid gland benign tumor using a tragus edge combined retroauticular hairline incision approach. Methods 20 cases of upper part of parotid gland benign tumor were resected using the tragus edge combined retroauticular hairline incision approach, the surgery and cosmetic effect were analyzed. Results Parotid gland tumors were checked by CT before the operation and diagnosed by frozen section analysis during the operation. The tumors were successfully complete resected in all cases.There were no complications of Freys syndrome, postoperative bleeding, and flap necrosis, 2 cases showed a temporary earlobe numbness, 1 case of temporary facial nerve paralysis and 1 case of salivary fistula. There were no tumor recurrence after 24 ~ 48 months followed up. Surgical incision cosmetic effect is satisfactory. Conclusion The tragus edge combined retroauticular hairline incision is safe and feasible, with less complications for the upper part of parotid gland benign tumor resecetion.

关 键 词：耳后发际联合耳屏缘切口 腮腺良性肿瘤 面神经 耳大神经 

分 类 号：R782[医药卫生—口腔医学]