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目的:评价改良面部除皱切口在腮腺浅叶肿瘤切除术中的应用价值。方法:采用改良面部除皱切口,实施面神经解剖加腮腺浅叶部分(或腮腺浅叶)切除术35例,观察该入路的术野暴露、美观程度及并发症发生率。结果:所有病例术野暴露良好,均完整切除肿瘤。术后面神经下颌缘支暂时性麻痹5例(14.3%),暂时性耳垂麻木6例(17.1%),均在1~3个月后缓解;无涎瘘;术后3个月患者平均客观美容满意度评分8.5分,所有患者对术后美容效果满意。随访24~60个月(中位随访期:48个月),未见肿瘤复发。结论:改良面部除皱切口应用于腮腺浅叶肿瘤切除,术野暴露良好、切口相对隐蔽、术后美容效果良好、无明显并发症,值得临床推广应用。
Objective: To evaluate the value of modified facial incision in excision of parotid tumor. Methods: 35 cases of facial nerve excision plus partial parotid gland (or parotid gland lobe) resection were performed with modified facial incision and incision. The operative field exposure, aesthetic appearance and complication rate were observed. Results: The operative field was well exposed in all cases and all the tumors were completely resected. 5 cases (14.3%) of temporary facial paralysis of facial nerve and 6 cases (17.1%) of temporary earlobe numbness were relieved after 1 ~ 3 months. No salivary fistula was found in patients with facial obstruction at 3 months after operation Satisfaction score 8.5, all patients satisfied with the cosmetic results. Follow up for 24 to 60 months (median follow-up period: 48 months), no tumor recurrence. Conclusion: The modified face wrinkle incision is applied to excision of parotid tumor in shallow lobes. The surgical field is well exposed, the incision is relatively hidden, the postoperative cosmetic effect is good, and no obvious complications are worthy of clinical application.