胸锁乳突肌瓣对腮腺恶性肿瘤手术中Frey综合征、额面部凹陷畸形的影响  

The effect of sternocleidomastoid muscle flap on Frey syndrome and frontal facial depression deformity during parotid gland malignant tumor surgery

作　　者：武太亮 代鹏展 杨付田 李伟 WU Tai-liang;DAI Peng-zhan;YANG Fu-tian;LI Wei(Department of Stomatology,Xuchang Central Hospital,Henan Province 461000,China)

机构地区：[1]许昌市中心医院口腔科,河南许昌461000

出　　处：《中国医疗美容》2023年第6期59-61,80,共4页China Medical Cosmetology

摘　　要：目的分析胸锁乳突肌瓣对腮腺恶性肿瘤手术中Frey综合征、额面部凹陷畸形的影响。方法选取2021年2月到2022年2月期间治疗的80例腮腺恶性肿瘤患者,所有患者按常规腮腺手术治疗后均行胸锁乳突肌瓣进行修复,统计分析本组患者手术期间Frey综合征、额面部凹陷畸形发生率和患者满意度。结果本组患者共计发生6例Frey综合征,Frey综合征发生率为7.50%,1例额面部凹陷畸形,额面部凹陷畸形发生率为1.25%;统计患者满意率结果显示,非常满意58例,一般满意20例,不满意2例,总满意率为97.50%。结论胸锁乳突肌瓣能有效降低腮腺恶性肿瘤手术中Frey综合征、额面部凹陷畸形的发生率,且患者满意度较高。Objective To analyze the effect of sternocleidomastoid muscle flap on Frey syndrome and frontal depression deformity during parotid gland malignant tumor surgery.Methods A total of 80 patients with malignant parotid gland tumors were selected from February 2021 to February 2022.All patients received sternocleidomastoid muscle flap repair after routine parotid surgery.The incidence of Frey syndrome,frontal depression deformity and patient satisfaction during surgery were statistically analyzed.Results There were 6 cases of Frey syndrome in this group,the incidence of Frey syndrome was 7.50%,1 case of frontal concave deformity,the incidence of frontal concave deformity was 1.25%.The results of the satisfaction rate showed that 58 patients were very satisfied,20 were generally satisfied and 2 were not satisfied,and the total satisfaction rate was 97.50%.Conclusion Sternocleidomastoid muscle flap can effectively reduce the incidence of Frey syndrome and frontal depression deformity during parotid gland surgery,and the patient satisfaction is higher.

关 键 词：胸锁乳突肌瓣 腮腺恶性肿瘤手术 FREY综合征 额面部凹陷畸形 影响 

分 类 号：R739.8[医药卫生—肿瘤]