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目的:评价改良面部除皱切口在腮腺浅叶肿瘤切除术中的应用价值。方法:收集2012-01-2015-01期间广东省人民医院耳鼻咽喉头颈外科收治的71例腮腺浅叶良性肿瘤患者。所有患者均实施面神经解剖加腮腺浅叶部分(或腮腺浅叶)切除术,其中采用改良面部除皱切口36例,改良Blair切口35例。比较2组术野暴露、手术时间、术中出血量、术后并发症发生率以及平均客观美容满意度评分。结果:在术野暴露、手术时间、术中出血量、术后暂时性面神经麻痹的发生率,2组间差异无统计学意义(P>0.05);而术后耳垂麻木发生率和平均客观美容满意度评分,改良面部除皱切口组均优于改良Blair切口组(P<0.05)。结论:在腮腺浅叶良性肿瘤切除术中,改良面部除皱切口可以达到改良Blair切口相同的术野暴露及手术效果,并避免了术后耳垂麻木的发生,同时切口相对隐蔽,术后美容效果良好,可供临床选择。
Objective: To evaluate the value of modified facial incision in excision of parotid tumor. Methods: A total of 71 patients with benign parotid gland tumor who were admitted to otolaryngology and head and neck surgery department of Guangdong Provincial People’s Hospital from January 2012 to January 2015 were collected. All patients underwent facial nerve dissection and parotidectomy (or parotid gland lobe) resection, including the use of modified facial wrinkles incision in 36 cases, modified Blair incision in 35 cases. The operative exposure, operative time, intraoperative blood loss, incidence of postoperative complications and mean objective cosmetic satisfaction were compared between the two groups. Results: There was no significant difference in the operative field exposure, operation time, intraoperative blood loss and postoperative temporary facial paralysis between the two groups (P> 0.05). The incidence of postoperative numbness and average objective cosmetic Satisfaction score, modified facial wrinkle incision group were better than modified Blair incision group (P <0.05). Conclusions: In the parotidectomy of benign tumors of the parotid gland, the modified facial incision can achieve the same surgical resection and surgical resection of Blair incision, and avoid the occurrence of postoperative numbness of the earlobe. At the same time, the incision is relatively hidden and the postoperative cosmetic effect Good for clinical options.