论文部分内容阅读
目的:探讨功能性手术在腮腺浅叶良性肿瘤治疗中的应用。方法:从手术切口、耳大神经保留、区域性面神经解剖、腮腺浅叶部分切除术和凹陷性畸形整复等多个方面对腮腺浅叶良性肿瘤的手术方法进行改良和综合应用。回顾分析21例患者术后复发率及术后功能、并发症的情况。结果:随访未见肿瘤复发,无明显凹陷畸形,保留耳大神经者耳周感觉异常区域较未保留耳大神经者缩小。4例发生暂时性面瘫,均在3个月内恢复。1例进食时颜面潮红。1例术后涎漏发生。结论:对于腮腺浅叶良性肿瘤,在掌握适应证的基础上,采用功能性手术可以获得与浅叶切除术相当的术后复发率,并在术后腮腺功能、外形、暂时性面瘫和味觉出汗综合征发生率方面优于浅叶切除术,提高患者术后生活质量。
Objective: To explore the application of functional surgery in the treatment of benign parotid gland tumors. Methods: Surgical methods of parotid benign tumors of the parotid gland were modified and applied from the aspects of surgical incision, large auricular nerve preservation, regional facial nerve anatomy, partial parotid excision and reconstructive depression deformity. Retrospective analysis of 21 patients with postoperative recurrence rate and postoperative function, complications. Results: There was no recurrence of tumor, no obvious deformity and deformity in the ear, and the area of periapical sensation in the auricular auricular herniation was smaller than those without auricular auricular nerve. 4 cases of temporary facial paralysis, were recovered within 3 months. 1 case when eating face flushing. One case of salivary leakage occurred after surgery. Conclusion: For parotid glandular benign tumors, based on the indications, functional surgery can get the same postoperative recurrence rate as that of shallow-leaf resection, and in the postoperative parotid gland function, appearance, temporary facial paralysis and taste out Sweat syndrome is superior to the rate of shallow lobectomy to improve postoperative quality of life.