SMAS及胸锁乳突肌瓣在腮腺肿瘤外科中的应用

目的评价面部表浅肌肉筋膜系统(Superficial Musculoaponeurotic System,SMAS)及胸锁乳突肌瓣在腮腺肿瘤外科中应用的临床价值。方法 43例腮腺肿瘤患者,随机分为2组,术中均采用保留面神经和耳大神经,实验组肿瘤切除后以SMAS及胸锁乳突肌瓣覆盖填塞缺损术区,对照组直接关闭创口。结果两组患者均达临床Ⅰ期愈合,无涎瘘发生。实验组Frey's综合征发生率及面部凹陷畸形满意度均低于对照组(P<0.05)。结论将SMAS及胸锁乳突肌瓣应用于腮腺肿瘤外科中,有效抑制了Frey's综合征发生率,且远期美容效果较好,具有较高临床应用价值。

The application of SMAS and sternocleidomastoid muscle flap in parotid gland tumor ectomy

Objective To evaluate the clinical value of SMAS and sternocleidomastoid muscle flap in the parotid gland tumor ectomy.Methods 43 cases with parotid gland tumors were randomly divided into two groups,and all of the operations were performed to preserve the facial nerve and greater auricular nerve.The experimental group was treated by filling defect area with SMAS and sternocleidomastoid muscle flap,and the control group was treated by closing the wound directly Results All patients healed primarily with no salivary fistula.The rate of Frey's syndrome and the satisfaction of facial sunken deformities in the experimental group were lower than those in the control group(P<0.05).Conclusions SMAS and sternocleidomastoid muscle flap in parotid tumor surgery can effectively inhibite the rate of Frey's syndrome,and it can achieve long-term cosmetic results.Hence wide use of clinical applications is commended.