目的探讨颌面部软组织损伤并腮腺损伤的临床治疗体会。方法对收治的28例颌面部软组织损伤并腮腺损伤患者,其临床资料进行回顾性分析。结果本组28例患者,通过对腮腺或其主导管损伤进行积极处理,所有患者均痊愈,术后8～20d出院,平均住院(12.8±5.1)d,伤口均Ⅰ期愈合,未出现腮瘘、腮腺导管瘘等并发症。急性损伤17例中,4例进行面神经吻合的,3例8～10个月后面神经功能基本恢复正常,另1例于1年后恢复。11例陈旧性损伤的患者经积极治疗也全部治愈,3例行面神经吻合术,1年后面神经功能基本恢复。结论对于颌面部软组织损伤并腮腺损伤病例应在早期进行细致的清创,及早发现腮腺及面神经损伤,并进行合理处理,减少并发症发生。对陈旧性损伤应依据不同损伤情况,采取不同的处理方法,可以促进腮腺导管瘘及面神经损伤的恢复。 Objective To investigate the clinical treatment of maxillofacial soft tissue injury and parotid gland injury. Methods The clinical data of 28 cases of maxillofacial soft tissue injury and parotid gland injury admitted to our hospital were analyzed retrospectively. Results The group of 28 patients were actively treated for parotid or ductal injury. All patients recovered and were discharged from 8 to 20 days after operation. The mean hospital stay was (12.8 ± 5.1) days. All the wounds healed in the first stage without any biliary fistula Parotid duct fistula and other complications. In 17 cases of acute injury, facial nerve anastomosis was performed in 4 cases. Facial nerve function returned to normal in 8 cases after 8 to 10 months in 3 cases, and recovered in 1 case after another. Eleven cases of old injury patients were treated by active treatment were all cured, 3 cases of facial nerve anastomosis, facial nerve function recovered after 1 year. Conclusions For patients with maxillofacial soft tissue injury and parotid injury, careful debridement should be carried out in early stage and parotid gland and facial nerve injury should be detected as early as possible and the complications should be reduced accordingly. For the old injury should be based on different injuries, take different treatment methods, can promote parotid catheter fistula and facial nerve injury recovery.