改良耳后发际切口联合蒂在下胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用研究

Application analysis of a modified retroauricular hairline incision in the resection of a benign parotid gland tumor

目的评价改良耳后发际切口联合蒂在下胸锁乳突肌瓣修复腮腺良性肿瘤中的应用价值。方法回顾性分析48例接受腮腺良性肿瘤切除术的患者,其中试验组采用改良耳后发际切口联合蒂在下胸锁乳突肌瓣修复19例,对照组采用改良美容切口29例,比较两组的手术时间、术后引流量、术后美观程度及术后面神经麻痹、涎瘘、Frey综合征的发生率。结果在术后美观方面,试验组比对照组具有更高的平均分,显示出更好的美观效果(P<0.05)。两组在手术时间、术后面神经麻痹、涎瘘、Frey综合征的发生率方面没有差异(P>0.05)。结论改良耳后发际切口联合蒂在下胸锁乳突肌瓣应用于腮腺良性肿瘤切除术中,具有更好的美容效果,无明显术后并发症,值得推广。

Objective This study aimed to evaluate the application value of a modified retroauricular hairline incision and a sternocleidomastoid flap with an inferior pedicle in the resection of benign parotid gland tumors.Methods Forty-eight patients with benign parotid gland tumors were retrospectively analyzed:19 cases were included in the experimental group with an improved retroauricular hairline incision and a sternocleidomastoid flap with an inferior pedicle,and 29 cases were assigned in the control group with a modified facelift incision.Operation time,postoperative drainage,postoperative esthetic degree,and incidence of facial nerve paralysis,salivary fistula,and Frey's syndrome were compared.Results After the esthetic procedure,the average score of the experimental group was higher than that of the control group,and the esthetic effect of the former was better than that of the latter(P<0.05).The incidence of the operation time,facial nerve paralysis,salivary fistula,and Frey's syndrome of both groups had no statistically significant differences(P>0.05).Conclusion The modified retroauricular hairline incision and sternocleidomastoid flap with an inferior pedicle can be applied to resect benign parotid gland tumors safely.It shows a better cosmetic effect and does not cause obvious postoperative complications.Therefore,it should be promoted for tumor treatments.