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目的:在腮腺良性肿瘤手术中应用耳屏内联合耳后发际切口及胸锁乳突肌瓣修复术区凹陷畸形,探讨其临床应用效果。方法:46例患者分为2组,一组行美容切口并用胸锁乳突肌瓣修复术区凹陷,另一组行传统“S”形切口未做胸锁乳突肌瓣修复;术后随访2a。临床检查暂时性面瘫、涎瘘和术后肿瘤复发,问卷调查Frey综合征、耳垂区麻木、面部瘢痕及畸形情况。采用SPSS13.0软件包对数据进行统计学分析。结果:美容切口及胸锁乳突肌瓣修复术区后美学效果显著优于传统术式,术后暂时性面瘫、涎瘘和术后肿瘤复发率无显著差异。结论:美容切口较传统切口隐蔽、美观,胸锁乳突肌瓣修复对术区凹陷畸形有明显改善。
OBJECTIVE: To study the effect of clinical application of trabeculectomy and sternocleidomastoid flap in the treatment of parotid benign tumor. Methods: Forty - six patients were divided into two groups: one was treated with cosmetically incision and sternocleidomastoid flap to repair the depression in operation area, while the other was treated with traditional sternotomy without revascularization. Follow-up 2a. Clinical examination of temporary facial paralysis, salivary fistula and postoperative tumor recurrence, Frey syndrome survey, ear numbness, facial scars and deformity. SPSS13.0 software package for statistical analysis of the data. Results: The aesthetics effect of cosmetic incision and sternocleidomastoid flap for repairing the operation area was significantly better than that of the traditional operation. The postoperative facial paralysis, salivary fistula and postoperative tumor recurrence rate were not significantly different. Conclusion: The cosmetic incision is more subtle and beautiful than the traditional incision, and the sternocleidomastoid flap repair has a significant improvement on the deformity in the surgical area.