口腔颌面外科杂志Issue(6):448-450,3.DOI:10.3969/j.issn.1005-4979.2014.06.011
胸锁乳突肌瓣在腮腺肿瘤切除术中的应用
Sternocleidomastoid Muscle Flap for the Prevention of Frey Syndrome and Facial Contour Deformity Following Parotidectomy
梁荣奇 1廖贵清2
作者信息
- 1. 佛山市高明区人民医院口腔科,广东 佛山 528500
- 2. 中山大学光华口腔医院口腔颌面外科,广东 广州 510055
- 折叠
摘要
Abstract
Objective: To review whether the sternocleidomastoid muscle flap reconstruction was appropriate to prevent the incidence of Frey syndrome and facial contour deformity after parotidectomy. Methods:29 cases undergone parotdec-tomy were involed in this study. 18 patients were randomly undergone reconstruction of the surgical defect with a stern-ocleidomastoid muscle flap after parotidectomy;the other 11patients did not receive a flap. After 6-12 months, all patients were evaluated via a short questionnaire, the starch-iodine test, and a visual examination. Results: In muscle flap restoration group, non of the 18 patients experienced abnormal facial contour deformity, and none of them were sweating, flushing or warmth while eating. In non-flap group, 5 patients showed a mild positive starch-iodine test, and all 11 patients manifested facial contour deformity. The difference was significant. Conclusion: Sternocleidomastoid muscle flaps are effi-cient for preventing Frey syndrome and facial contour deformity following parotidectomy.关键词
胸锁乳突肌瓣/腮腺肿瘤切除术/侧面凹陷畸形/Frey综合征Key words
sternocleidomastoid muscle flap/parotidectomy/facial contour deformity/Frey syndrome分类
医药卫生引用本文复制引用
梁荣奇,廖贵清..胸锁乳突肌瓣在腮腺肿瘤切除术中的应用[J].口腔颌面外科杂志,2014,(6):448-450,3.