沿下颌缘支逆向分离面神经腮腺手术57例临床分析

目的：分析沿下颌缘支逆向分离面神经方法切除腮腺肿瘤的手术效果。方法：统计2003年1月～2008年1月腮腺肿瘤手术57例患者的病例资料,所有患者手术时采用沿下颌缘支逆向分离面神经的方法。结果：全组患者顺利完成手术,术后2例并发涎瘘,3例面神经损伤。结论：沿下颌缘支逆向分离面神经的腮腺手术方法从浅到深分离,操作方便、术野清晰、创伤极小、出血较少、优点明显、效果满意。

Clinical reaserch on 57 parotidectomy surgery patients with reverse separate facial nerve along marginal mandibular branch

Objective： To study the effect of resection of parotid tumors by retrograded and anatomized on marginal mandibular branch to separate facial nerve. Methods： 57 patients for resection of parotid tumors from January 2003 to January 2008 were analyzed.The way separating facial nerve by retrograded and anatomized on marginal mandibular branch to separate facial nerve was adopted for all patients. Results： All operations were successful. Parotid fistula appeared in 2 patients,facial nerve injury appeared in 3 cases. Conclusion： The way of reversing separate facial nerve along marginal mandibular branch was from shallow soft tissue to deep. It is an effective surgery way for convenient manipulation,clear field of operation, minimal trauma,less bleeding.