小儿腮腺血管瘤的手术治疗

Surgery of hemangioma of the parotid gland in infant

目的 探讨小儿腮腺血管瘤的手术治疗要点和手术治疗效果。方法 收集 1996～ 2 0 0 0年收治的小儿腮腺血管瘤 2 0例 ,年龄 2个月～ 3岁 ,均施行保留面神经的腮腺及血管瘤切除术。面神经剥离采用主干到分支的顺行法。随访 1～ 3年。结果 创口全部I期愈合 ,无感染、无涎瘘、无永久性面瘫等并发症。面部外形无明显凹陷畸形。结论 本病早期手术治疗可获得满意治疗效果。小儿面神经分支类型与成人无明显差异 ,保护面神经及控制出血是手术成功的关键。

Objective To Investigate the surgical keys and results of hemangioma of the parotid gland in infant. Method 20 cases with hemangioma of the paroti d gland, aged from 2 months to 3 years were treated by parotidectomy and resect ion of hemangioma, associated with preserve of facial nerve. Dissociated facia l nerve were from trunk to branches. All patients were followed for 1 to 3 year s. Result All patients healed without infection ,salivary fistula and permane nt facial paralysis . There weren't significant concavity malformation in infan t's features after 1 year. Conclusion Early surgery could lead to satisfact ory results in hemangioma of the parotid gland in infant. There was no major d ifference in the type of facial nerve between adult and infant .Tt is the most important to preserve facial nerve and control blood.