临床口腔医学杂志2013，Vol.29Issue(6)：360-362,3.DOI:10.3969/j.issn.1003-1634.2013.06.017
口腔修复膜和胸锁乳突肌瓣在腮腺切除术中的应用
Application of oral plerosis membrane and sternocleidomastoid muscle flap in parotidectomy
周瑜 1叶茂昌 1王来平 1李容新1
作者信息
- 1. 安徽医科大学附属省立医院口腔医学中心口腔颌面外科 安徽合肥230001
- 折叠
摘要
Abstract
Objective:TO analyze clinical therapeutic effect of oral plerosis membrane and sternocleidomastoid muscle falp to prevent frey syndrome and facial collapse deformity.Method:Total 147 patients were randomly divided into 3groups.51 cases in treatment group 1st were repaired with oral plerosis membraneand.43 cases in treatment group 2nd were repaired with sternocleidomastoid muscle flap.The other 53 cases in control group were not repaired with any material.All cases were followed up during 24 months after operation and were compared with incidence of Frey Syndrome and facial degree of satisfaction to analyze if there was statistical significance.Result:In treatment group 1st 3 cases (3.9 ％) appeared clinical manifestation of Frey Syndrome and Minor,s starch-iodine tests of 21 cases (41.2 ％) were positive.In treatment 2nd 3 cases (7.0 ％) appeared clinical manifestation and Minor,s starch-iodine tests of 19 cases (44.2 ％)were positive.And in control group there were 23 (43.4 ％) and 44 (83.0 ％).There were significant difference between treatment group (P ＜0.05)to compare with incidence of Frey Syndrome,and not significant difference between treatment group (P ＞0.05).facial degree of satisfaction was divided into not satisfaction and satisfaction.Not satisfactory cases in 3 groups were 13 (25.5 ％),2 (4.7％),33 (62.3 ％).Satisfactory cases were respectively 38 (74.5 ％),41 (95.3 ％),20 (37.7 ％).There were significant difference between treatment group and control group,and between control groups (P ＜0.05).Conclusion:Application of oral plerosis membrane and stemocleidomastoid muscle flap in parotidectomy can both reduce incidence of Frey syndrome obviously,and avoid facial collapse deformity efficiently,and sternocleidomastoid muscle flap can do better.关键词
腮腺切除术/Frey综合征/面部凹陷畸形/并发症Key words
parotidectomy/ Frey syndrome/ facial collapse deformity/ complication分类
医药卫生引用本文复制引用
周瑜,叶茂昌,王来平,李容新..口腔修复膜和胸锁乳突肌瓣在腮腺切除术中的应用[J].临床口腔医学杂志,2013,29(6):360-362,3.
