腮腺手术面神经的解剖及临床意义

Clinicalsignificance andthefacial nerve anatomyin the parotid gland operation

目的探讨腮腺手术中面神经的解剖及临床意义。方法对2008年7月-2012年7月西安交通大学医学院第一附属医院收治的125例腮腺良性肿瘤患者的临床资料行回顾性分析,其中包括腮腺多形性腺瘤46例,嗜酸细胞腺瘤21例,基底细胞腺瘤26例,肌上皮瘤19例,Warthin瘤13例。所有病例术中均行面神经解剖后行腮腺肿瘤切除术及浅叶切除术。结果 125例患者均成功解剖面神经主干及分支,并发暂时性面瘫7例,腮腺瘘3例,Frey综合征3例。结论腮腺良性肿瘤手术中解剖面神经主干及分支可减少损伤面神经的机率,减少并发症的发生。

[ Objective ] To discuss the facial nerve anatomy and clinical significance in the parotid gland opera- tion. [Methods] For the 125 cases parotid gland benign tumor in our department from July 2008 to July 2012, we held the retrospective analysis for the clinical data, including 46 cases pleomorphic adenoma, 21 cases oncocytoma, 26 cases basal cell adenoma, 19 cases myoepithelioma, 13 cases Warthin tumor. All the patients underwent the fa- cial nerve dissection before the parotid tumor and superficial parotidectomy surgery. [Results] In 125 patients, the facial nerve trunk and branch were all be dissected successfully, 7 cases complicated temporary facial paralysis, 3 cases complicated parotid gland fistula, 3 case complicated Frey syndrome. [ Conclusions ] For the parotid gland be- nign tumor, we should dissect the facial nerve trunk and the branch in order to reduce the incidence of the facial nerve injury, reduce the occurrence of the complication.