腮腺切除术需作细致的面神经解剖,但因而延长了手术时间。作者总结了许多次腮腺手术的经验后对腮腺手术作了一些改进,从而提高手术的速度,并对面神经的损害减少到最小危险性。操作要点: 采用在耳前下方及下颌角部作倒“T”形切口。能快而易的将皮瓣自然翻转。切开腮腺筋膜后,用组织剪向前游离皮瓣,这样就达到了快速及安全二个要点。第一,剪刀的刀口与腺体呈垂直状的进行掀起分离皮肤。在操作过程中,剪刀不大可能损及腺体边缘的面神经分枝。第二,由乳突始 Parotid resection requires detailed facial nerve anatomy, but thus prolonging the operation time. The authors summarize many experiences with parotid surgery to make some improvements to the parotid surgery to increase the speed of the procedure and to minimize the risk of facial nerve damage. Operating points: the bottom of the ear and mandibular angle for inverted “T” shaped incision. Quick and easy flap naturally flip. Cut the parotidectum fascia, with tissue scissors forward free flap, so as to achieve fast and safe two points. First, the cutting edge of the scissors and the gland were vertical to lift the separation of the skin. During operation, scissors are less likely to damage facial nerve branches at the gland edge. Second, by the beginning of mastoid