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胸锁乳突肌瓣在腮腺肿瘤切除术中的应用

梁荣奇 廖贵清

口腔颌面外科杂志Issue(6):448-450,3.
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.

口腔颌面外科杂志

OACSTPCD

1005-4979

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