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目的探讨腮腺癌根治术造成面神经缺损的修复方法和临床效果。方法对腮腺癌根治术并造成面神经缺损的病例,应用带蒂胸锁乳突肌瓣的耳大神经移植修复,肌瓣修复创面同时在手术显微镜下进行面神经与耳大神经吻合,即刻修复面神经。结果临床修复8例,术后随访3～6个月,面摊症状均有改善,面神经功能恢复达Ⅱ级6例,Ⅲ级2例。结论带胸锁乳突肌瓣的耳大神经瓣移植修复面神经,为神经修复提供了良好的血运,能有效的恢复面神经的功能。
Objective To investigate the repair method and clinical effect of facial nerve defect caused by radical resection of parotid gland. Methods The cases of radical parotid gland carcinoma and facial nerve defect were treated with the transposition of the sternocleidomastoid flap of the great ear nerve. The flap was repaired by the muscle flap and the facial nerve was anastomosed with the large auricular nerve under a surgical microscope to repair the facial nerve immediately. Results Eight cases were clinically repaired. The symptoms of noodles improved after 3 to 6 months of follow-up. There were 6 cases of grade Ⅱ and 2 cases of grade Ⅲ in facial nerve recovery. Conclusion Transplantation of the great facial nerve flap with sternocleidomastoid flap for the repair of facial nerve provides a good blood supply for nerve repair and can effectively restore facial nerve function.