功能性腮腺切除术48例临床分析

Clinical analysis of 48 cases of functional partial parotidectomy

目的探索腮腺肿瘤既能彻底切除,又能减少术后并发症的功能性术式。方法对48例腮腺肿瘤,采用自腮腺嚼肌筋膜下翻瓣,游离面神经分支,保留导管,部分切除腮腺组织。通过6个月～5年随访,观察术后面瘫、味觉出汗综合征(Frey’s综合征)、面部外形、腮腺导管口分泌、涎瘘、复发等情况。结果48例患者中,5例口角歪斜,给予营养神经药物治疗,3月后恢复,2例味觉出汗综合征,2例肿瘤复发,1例涎瘘,患者术后颜面两侧基本对称,腮腺导管口分泌基本正常。结论功能性腮腺切除术克服了传统术式缺陷,值得临床应用。

Objective To explore a kind of surgical style,which can not only resect tumor of parotid gland completely,but also reduce the risk of complication after operation. Methods Tumors of parotid gland of 48 cases were partially dissected by using the superficial musculoaponeurotic system as an interposing flap.dissociating the branches of facial nerve and reserving the duct of parotid gland. All patients were followed up for 6 months to 5 years to observe paralysis of facial nerves,Frey＇s Syndrome,facial outline,secretion of the opening of parotid gland,external fistula of spittle,and recurrence. Results All patients had approximately symmetry facial outline and normal secretion of the opening of parotid gland. Conclusion Functional partial parotidectomy can overcome defects of traditional operation defects,and is worth application clinically.