下颌骨外旋入路切除腮腺深叶肿瘤

目的:探讨腮腺至上腭、咽侧及舌根肿瘤切除术的最佳进路。方法:采用下颌骨切开外旋入路切除突向上腭腮腺肿瘤6例。结果:经下颌骨切开外旋,手术视野暴露充分。6例肿瘤得到根治,疗效满意。无明显面神经功能受损后功能障碍及其他并发症。结论:下颌骨切开外旋进路具有暴露充分、不易损伤面神经、安全可靠的特点,特别适用于腮腺深叶至上腭的巨大肿瘤的切除。

Mandible Swing Approach for Excision of Tumors from Parotid Deep Lobe

Objective: To find a better approach for the resection of parotid tumors extending to palate, pharyngeal space, and the root of tongue. Methods: 6 cases of retromandibular tumors of the parotid gland were thoroughly dissected through mandible swing approaches. Results: The mandible swing approach established a convenient avenue of exit for the retromandibular tumors of the parotid; almost no injuries to 7th nerve or other complications were documented. Conclusion: Mandible swing approach for excision of retromandiblar tumors of parotid exhibited the following advantages: full exposure of operation field; little or even no harm to 7th nerve; safe and reliable.