程序化功能性腮腺切除术的探讨

Procedures of functional parotidectomy

目的：探讨改良腮腺切除术的临床应用。方法：从手术切口、耳大神经保留、面神经解剖、区域性腮腺切除、凹陷性畸形整复和端侧神经吻合术的运用等多个方面对腮腺切除术进行改良。结果：随访肿瘤均未见复发，无面瘫及明显味觉出汗综合征，耳周的感觉恢复正常，颌面部基本对称，无明显凹陷性畸形，瘢痕隐蔽。结论：可根据患者的个性化情况，程序化地采用功能性腮腺切除术。

Objective：To explore training improved excision of parotid gland in clinical application. Methods：From the operation incision,the great auricular nerve,facial nerve dissection, retaining the regional parotid resection, depressed deformity and end--to--side nerve anastomosis using a number of aspects of parotid resection improved. Result：The patients were followed up for tumor showed no recurrence,no facial paralysis and obvi- ous gustatory sweating syndrome, ear week feeling returned to normal, and maxillofacial basic symmetry, no obvious depression deformities,a con- cealed scar. Conclusion：According to the patients with personalized, programmed by functional parotideetomy.