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目的 :研究对比采用保留腮腺咬肌筋膜的翻瓣和切除腮腺咬肌筋膜的翻瓣方法对预防Frey’s综合症的效果。方法 :对甲组 2 3例腮腺肿瘤患者在行腮腺切除手术时采用保留腮腺咬肌筋膜 ;乙组 32例腮腺肿瘤患者则采用切除腮腺咬肌筋膜 ,经过半年至两年半的随访 ,比较两组患者Frey’综合症的发生率。结果 :甲组患者中 4例出现进食时出汗现象 ,发生率为 5 7%。结论 :在腮腺切除手术中 ,保留腮腺咬肌筋膜 ,可防止了副交感迷走神经末梢的再生 ,有效地预防了腮腺书后Frey’s综合症的发生。
OBJECTIVE: To compare the effects of flap replacement with parotidectomy myofascial flap and flap flap removal of parotid muscle fascia on the prevention of Frey’s syndrome. Methods: Twenty-three patients with parotid gland tumor in group B underwent resection of the parotid gland myofascial muscle during the operation of parotid gland resection. Totally six months to two and a half years follow-up, The incidence of Frey’s Syndrome was compared between the two groups. Results: In group A, 4 cases appeared sweating phenomenon when eating, the incidence was 57%. CONCLUSION: In parotidectomy, preservation of parotid muscle fascia can prevent the regeneration of parasympathetic vagal terminals and effectively prevent the occurrence of Frey’s syndrome after parotid gland resection.