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作 者:李念 李天成[1] LI Nian;LI Tiancheng(Department of Otorhinolaryngology Head and Neck Surgery,Peking University First Hospital,Beijing 100032,China)
机构地区:[1]北京大学第一医院耳鼻咽喉头颈外科,北京100032
出 处:《中国医药导报》2023年第25期58-61,69,共5页China Medical Herald
基 金:首都卫生发展科研专项项目(首发2022-2-4076);北京市卫生健康科技成果和适宜技术推广项目(BHTPP 2022006)。
摘 要:颌下腺良性肿瘤目前首选的治疗方法为经颈部入路颌下腺切除,但该术式有损伤面神经下颌缘支的风险,且颈部会留下瘢痕,影响美观。患者们对于审美要求的日益提高,推动颌下腺手术切口向美容、隐蔽方向发展。内镜辅助下手术可以避免明显的颈部瘢痕,有助于观察颈部重要解剖结构,同时在手术实践中发现其并发症风险并不显著,腺体及肿瘤均可完整切除。目前对于内镜辅助颌下腺切除术的应用十分有限,本文将对不同径路的内镜颌下腺手术作一综述,以期为临床医生提供参考。Resection of submandibular gland via neck approach is the preferred treatment for submandibular gland benign tumors,however,there is a risk of injury to the mandibular branch of the facial nerve in this operation,and the neck will leave scars,affecting the appearance of the neck.The increasing aesthetic requirements of patients promote the development of surgical incision of submandibular gland in the direction of beauty and concealment.Endoscopic-assisted surgery can avoid obvious neck scars and help to observe important anatomical structures of the neck.Meanwhile,it is found in surgical practice that the risk of complications is not significant,and the glands and tumors can be completely removed.At present,the application of endoscopic-assisted submandibular gland excision is very limited.This article will review endoscopic submandibular gland surgeries with various approaches,in order to provide reference for clinicians.
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