腮腺多形性腺瘤手术方式的改良

目的：探讨改良腮腺多形性腺瘤手术方式的临床应用效果。方法：采用改良手术方式,切除腮腺多形性腺瘤62例,观察术后并发症。结果：62例术后均有不同程度面瘫,于术后2周～3个月内恢复正常,耳垂皮肤感觉减弱,于术后2月内恢复正常,无涎瘘发生,随访2～10年,Frey综合征2例,无肿瘤复发,术后术区无凹陷,切口疤痕隐蔽。结论：改良术式切除腮腺多形性腺瘤,与传统术式相比,能达到同样疗效,但具有保存耳大神经,胸锁乳突肌瓣修复术后缺损便利,术后Frey综合征发生率低,术区无凹陷畸形,切口隐蔽等优点。

A modified technique of parotidectomy for parotid pleomorphic adenoma.

Objective：To investigate the feasibility of a modified technique of parotidectomy for parotid pleomorphic adenoma.Method：Sixty-two cases with parotid pleomorphic adenoma underwent the modified technique of parotidectomy and the complications of the surgery were observed.Result：All of the sixty-two cases had different degrees of facial palsy and were healed after two weeks to three months.The numbness of the regin of auricular lobule was healed in two months after surgery.No case suffered from salivary fistula.Postoperative follow-up of two years to ten years,only two cases underwent Frey＇ syndrome and no recurrence was founded,no one was founded postoperative deficiency and the scar of the incision is not obvious.Conclusion：The modified technique of parotidectomy,compared with the traditional operation for parotid pleomorphic adenoma,can achieve the same efficacy.And it has the advantages of preservation of great auricular nerve,reconstruction of the surgical defect with a sternocleidomastoid muscle flap,lower rates of Frey＇ syndrome,and no postoperative deficiency or deformity and the hidden incision.