口腔疾病防治2025，Vol.33Issue(4)：289-295,7.DOI:10.12016/j.issn.2096-1456.202440249
耳周V形切口与改良Blair切口入路切除腮腺浅叶良性肿瘤的疗效比较
Comparison of the efficacy of the V-shaped incision and modified Blair incision approach for resection of be-nign tumors in the superficial lobe of the parotid gland
摘要
Abstract
Objective To evaluate the feasibility of a V-shaped incision in the resection of a superficial parotid gland benign tumor by comparison with a modified Blair incision.To provide a basis for evaluating the clinical applica-tion value of the V-shaped incision.Methods This study was reviewed and approved by the ethics committee,and in-formed consent was obtained from the patients.Data from 61 patients with a benign tumor on the superficial parotid gland who had surgery at People’s Hospital of Xinjiang Uygur Autonomous Region from September 2021 to September 2023 were collected and analyzed.The maximum diameter of the tumor included in the patient should not exceed 4 cm.The patients were divided into two groups based on the different surgical incisions:a V-shaped incision group(29 cases)and modified Blair incision group(32 cases).Several comparisons were made between the group:operation time;postop-erative drainage volume;facial nerve function,pain,and complication in the operation area;and aesthetic effect of the surgical incision.The patients were followed up for 6 months.The 61 patients were further divided into groups based on the locations of the tumors:tumors around the earlobe and tumors in the lower pole of the parotid gland.Results There were no significant differences in operation time,postoperative House-Brackmann grading system(HBGs)facial nerve function score,and visual analogue scale(VAS)pain score between the two groups(P＞0.05).The postoperative drainage volume and Vancouver scar scale(VSS)score of the V-shaped incision group were higher than the modified Blair incision group(P＜0.05).The incidence of great auricular nerve numbness was lower in the V-shaped incision group than the modified Blair incision group(P＜0.05).The operation time of the V-shaped incision applied to excise the tumor around the earlobe was shorter than the modified Blair incision(P＜0.05).Conclusion The V-shaped inci-sion is a concealed facial incision,surgeons should be aware that some patients who receive this incision have a large amount of postoperative drainage and the retroauricular region is prone to scar hyperplasia.关键词
腮腺肿瘤/耳周V形切口/隐蔽切口/负压引流/术后引流量/耳周麻木/耳后沟/瘢痕增生Key words
parotid gland tumor/V-shaped incision/concealed incision/negative pressure drainage/postop-erative drainage volume/periauricular numbness/retro auricular sulcus/hypertrophic scar分类
口腔医学引用本文复制引用
伍诗涵,热依汉古力·穆合塔尔,阿地拉·阿布力孜,杨蓉,许辉..耳周V形切口与改良Blair切口入路切除腮腺浅叶良性肿瘤的疗效比较[J].口腔疾病防治,2025,33(4):289-295,7.基金项目
"天山英才"医药卫生高层次人才培养计划(TSYC202301A049) This study was supported by the grants from"Tianshan Talents"High-level Medical and Health Personnel Training Program(No.TSYC202301A049). （TSYC202301A049）
