改良“S”切口联合颈阔肌及腮腺嚼肌筋膜在腮腺良性肿瘤切除术中的应用

Improved "s" incision and sternocleidomastoid in parotidectomy for benign parotid tumors

目的探讨改良"S"切口联合颈阔肌及腮腺嚼肌筋膜在腮腺良性肿瘤切除术中的应用。方法选择56例良性腮腺肿瘤患者,采用改良"S"切口,保留完整的腮腺嚼肌筋膜,切除腮腺良性肿瘤及部分腮腺组织后,依局部凹陷畸形程度,以颈阔肌连带肌膜及前上方的腮腺嚼肌筋膜旋转修复组织缺损凹陷,并且严密缝合。结果所有患者肿瘤均完整切除,均获随访6～36个月,1例术后积涎,抽液加压包扎2周后痊愈,其余55例外形良好,面部无凹陷畸形,无涎瘘、面瘫及味觉出汗征象。结论在腮腺良性肿瘤切除术中,改良"S"切口联合颈阔肌及腮腺嚼肌筋膜修复技术,有效地减少创伤,减轻术后畸形,恢复快,并发症少,提高了患者的生活质量。

Objective To evaluate the improved ＂S＂ incision and parotid fascia with sternocleidomastoid muscle in parotid benign tumor resection.Methods All 56 patients with benign parotid gland tumors were chosen and underwent the improved ＂S＂ cuts.The parotid fascia was retained.After the removal of benign tumor of parotid gland and a part of the parotid gland tissue around,parotid fascia was used with sternocleidomastoid muscle to repair tissue defect in depression and was tightly stitched according to the sunken degree caused by tumor resection.Results The parotid tumors were removed in all cases,which were followed-up for 6-36 months.One case found subcutaneous salivary fluid,which was successfully treated by drainage and pressurized bandaging for 2 weeks,while the remaining 55 cases were of good appearance with no facial depression deformity,no fistula of salivary glands,facial paralysis or Frey＇s syndrome.Conclusion In parotid benign tumor resection,the improved ＂S＂ incision and parotid fascia with sternocleidomastoid muscle can effectively reduce trauma and postoperative deformity,which has the advantage of quick recovery,fewer complications,and the improvement of patients ＇ quality of life.