腮腺良性肿瘤手术中面神经的损伤

Facial nerve injury in the surgical management of benign parotid tumor

目的探讨腮腺良性肿瘤术中面神经损伤与手术方式的关系。方法对我院1999～2006年住院治疗病理证实为腮腺良性肿瘤的患者116例进行回顾性分析。结果腮腺全切除术后面神经重要分支功能损伤发生率(66.7%)明显高于腮腺浅叶摘除术(39.2%)和腮腺部分切除术(12.5%);下颌缘支功能损伤的几率(31.9%)高于颊支(9.2%)和颧支(2.9%)。结论面神经主要分支功能损伤与手术方式密切相关,选择适当手术方式和手术范围,可减少面神经损伤的发生,提高患者术后生活质量。

OBJECTIVE To observe the incidence of facial nerve injury and its relationship to the types of operation. METHODS The clinical data of 116 patients who underwent parotid surgery from 1999 to 2006 were analyzed retrospectively. RESULTS The facial injury rate in total parotidectomy （66.7 %） was significantly higher than that in superfacial parotidectomy（39.2 %） and partial parotidectomy（12.5 %）. The facial nerve injury rate in the mandibular branch（31.9 %） was higher than that in the buccal branch（9.2 %） and the zygomaticofacial branch（2.9 %）. CONCLUSION The injury of facial nerve branches was correlated with the surgical managements. A proper surgical managements and operative extent would reduce the incidence of facial nerve injury and decrease the complications of the operation.