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美容切口及胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用∗

孙黎波 兰玉燕 张力 周航宇 张磊

广东牙病防治Issue(9):480-483,4.
广东牙病防治Issue(9):480-483,4.

美容切口及胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用∗

Application of esthetic incision and sternocleidomastoid muscle flap in benign parotid gland tumor surgery

孙黎波 1兰玉燕 2张力 1周航宇 1张磊1

作者信息

  • 1. 泸州医学院附属口腔医院口腔颌面外科,四川 泸州 646000
  • 2. 泸州医学院口颌面修复重建和再生实验室
  • 折叠

摘要

Abstract

Objective To investigate the application of esthetic incision and sternocleidomastoid muscle flap in parotid benign tumor resection. Methods A total of 43 patients with parotid benign tumor were divided into 2 groups. 23 cases ( esthetic group) were treated with esthetic incision and sternocleidomastoid muscle flap. 20 ( conventional surgical group ) were treated with modified Blair incision. All parients were followed up in 1 to 5 years ( mean 3. 5 years) . The incidence of complications and prognosis of these two treatment options were compared. Results There were significant differences in local introcession deformity (χ2 =7. 41, P=0. 007) , Frey”s syndrome (χ2 =4. 64, P=0. 023) and temporary facial paralysis (χ2 =4. 89, P=0. 034) between the 2 groups ( P<0. 05) . There were no significant differences in parotid gland fistula (χ2 =0. 22, P=0. 468) and earlobe mumbness (χ2 =0. 48, P=0. 536) between the 2 groups ( P>0. 05) . Conclusion Esthetic incision and sternocleidomastoid muscle flap are feasible and safe for treatment of benign parotid tumors. Esthetic incision has better cosmetic outcome with less increase of postoperative complications when compared with conventional surgical approach.

关键词

美容切口/胸锁乳突肌瓣/腮腺良性肿瘤

Key words

Esthetic incision/Sternocleidomastoid muscle flap/Benign parotid gland tumor

分类

医药卫生

引用本文复制引用

孙黎波,兰玉燕,张力,周航宇,张磊..美容切口及胸锁乳突肌瓣在腮腺良性肿瘤切除术中的应用∗[J].广东牙病防治,2015,(9):480-483,4.

基金项目

四川省教育厅资助项目(15ZB0167),泸州医学院附属口腔医院资助项目(201407) (15ZB0167)

广东牙病防治

1006-5245

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