耳前扩展切口在副腮腺肿瘤切除术中的应用  

Application of Anterior Auricular Extension Incision in Resection of Accessory Parotid Gland Tumors

作　　者：洪小伟[1] 孙国文[1] 王志勇[1] 朱锋 李威[1] HONG Xiaowei;SUN Guowen;WANG Zhiyong;ZHU Feng;LI Wei(Nanjing Stomatological Hospital, Medical School of Nanjing University,Nanjing 210008,China.)

机构地区：[1]南京大学医学院附属口腔医院,南京市口腔医院,江苏南京210008

出　　处：《口腔医学研究》2020年第10期912-914,共3页Journal of Oral Science Research

基　　金：江苏省卫生厅课题项目(编号:H201441);南京市科技发展计划项目(编号:201503038)。

摘　　要：目的:初步评价耳前扩展切口在副腮腺肿瘤切除术中的应用效果。方法:8例术前诊断为副腮腺肿瘤患者,采用耳前扩展切口行副腮腺肿瘤切除术。记录手术时间,术后并发症,患者对切口外观满意度等临床数据并分析。结果:8例患者术中暴露良好,肿瘤完整切除,随访18~24月,无涎瘘发生,无耳垂及颞部麻木。除手术需要切除面神经分支外,无其他面神经损伤症状。随访至今无肿瘤复发。患者均对切口外观表示满意。结论:耳前扩展切口在副腮腺肿瘤切除术中可达到良好的术创暴露及手术效果,是一种可行的手术入路。Objective:To evaluate the clinical effect of anterior auricular extension incision in resection of accessory parotid gland tumors.Methods:Eight cases diagnosed as accessory parotid gland tumors underwent tumor resection surgery using the anterior auricular extension incision.Clinical data such as operation time,postoperative complications,and patients'satisfaction with incision appearance were recorded and analyzed.Results:Sufficient surgical field exposure was obtained in all cases and all tumors were completely resected.No salivary fistula,earlobe,or temporal numbness occurred.The function of facial nerve was well preserved in addition to surgical needs to remove facial nerve branches.No tumor recurrence was found during 18-24months follow-up.All patients were satisfied with the appearance of incision.Conclusion:The anterior auricular extension incision is a feasible surgical approach in the resection of accessory parotid gland tumor,which can achieve good surgical exposure and surgical results.

关 键 词：副腮腺 肿瘤 手术切口 面神经 

分 类 号：R73[医药卫生—肿瘤]