腮腺良性瘤术中保留腮腺咬肌筋膜预防Frey综合征的临床治疗

目的:研究保留腮腺咬肌筋膜对预防味觉出汗综合征发生的作用。方法:在26例腮腺良性肿瘤术中23例保留腮腺咬肌筋膜,3例未保留腮腺咬肌筋膜,术后6个月～2年定期随访,通过碘-淀试验对患者进行评价。结果:23例保留腮腺咬肌筋膜手术者,无感觉不适,碘-淀试验阴性。3例未保留腮腺咬肌筋膜者有1例出现味觉出汗综合征,碘—淀试验阳性。结论:在腮腺良性肿瘤术中保留腮腺咬肌筋膜能有效预防味觉出汗综合征发生。

Clinical Treatment of Prevention of Frey Syndrome by Retention Parotid Bite Myofascial during Parotid Benign Tumor Surgery

Objective：The aim of this study is to evaluate the effect of retention parotid bite myofascial in the prevention of Frey＇s syndrome.Methods： 26 patients with benign parotid tumor received surgery,23 cases of those with parotid myofascial unresected and 3 cases with parotid myofascial resected.The patients were follow-uped regularly from 6 months to 2 years after surgery,and odine-starch test was used for the evaluation of patients.Results： 23 cases receiving retained parotid bite myofascial surgery have no feeling of discomfort and iodine-starch test was negative.Frey syndrome appeared in 1 patient of 3 cases receiving unreserved parotid bite myofascial,and iodine-starch test was positive.Conclusions： Retention parotid bite myofascial is effective in the prevention of Frey＇s syndrome during parotid benign tumor surgery