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目的:评价耳后软组织瓣修复腮腺术后凹陷畸形的美容效果。方法:选择36例良性腮腺肿物患者,采用改良的除皱隐蔽美容切口,切除腮腺及肿物组织后,依局部凹陷畸形程度,以耳后动脉为蒂,设计制作耳后软组织瓣,翻转180°,作为插入软组织瓣充填术区凹陷。结果:36例术后创口均Ⅰ期愈合,均获随访12～36个月,切口在耳后发际内隐蔽,腮腺区无凹陷畸形,外形良好。转移瓣无坏死,无涎瘘、面瘫、耳垂麻木,未发现味觉出汗征象。结论:耳后美容切口联合软组织瓣应用于腮腺手术,切口隐蔽,术后局部凹陷畸形修复效果好,术后并发症少,特别适合年轻的患者。
OBJECTIVE: To evaluate the aesthetic effect of posterior soft tissue flap in the treatment of sunken parotid deformity. Methods: Thirty-six patients with benign parotid gland tumor were selected. A modified cosmetic removal of concealing and removing the parotid gland and tumor was performed. According to the degree of local deformity and the ear artery, °, as a depression inserted into the soft tissue flap filling area. Results: All the wounds healed in the first stage after operation. All cases were followed up for 12 to 36 months. The incision was hidden in the hairline of the back of the ear. The parotid gland had no deformity and good appearance. No flap necrosis, salivary fistula, facial paralysis, numbness of earlobe, no signs of taste sweating. CONCLUSION: Cosmetic incision combined with soft tissue flap applied to the parotid gland after ear posterior incision has the advantages of concealed incision, postoperative local depression and deformity repair, less postoperative complications and is especially suitable for young patients.