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患者女性,12岁。于1982年7月因左耳前肿胀疼痛,在当地医院诊断为“左腮腺脓肿”,并施行“切开排脓”术。术后二年来伤口一直不愈,有黄色液体流出,流液量与饮食无关。曾用多种抗生素治疗无效,来我科门诊行左腮腺耳前瘘口处取活检,病理报告为炎性肉芽组织及坏死组织,诊为左腮腺慢性腮瘘,于1984年8月27日住院。查体:一般情况好,体温及血、尿、便常规和胸透无异常,结核菌素试验阴性。口腔颌面外科检查见左腮腺耳前区有2×2cm的肿物,轻压痛。耳屏前有直径为2mm的瘘口,周围皮肤为疤痕组织。左外耳道前壁肿胀,致外耳道狭窄。左耳后有1×1.5cm的可活动淋巴结。于1984年9月4日在全麻下施行左腮腺瘘管及其浅叶切除术。伤口一期愈合。病理诊断为左腮
Female patient, 12 years old. In July 1982, due to swelling and pain in the left ear, he was diagnosed as a “left parotid gland abscess” at a local hospital, and he underwent “cut pus”. After two years of surgery, the wound was always healed and there was a yellow fluid flow. The amount of fluid was not related to diet. We used a variety of antibiotics to treat the disease. A biopsy was performed at the frontal septum of the left parotid gland in our department. The pathology report was inflammatory granulation tissue and necrotic tissue. The patient was diagnosed as a chronic sputum of the left parotid gland and was hospitalized on August 27, 1984. . Physical examination: The general situation is good, body temperature and blood, urine, stool routine and chest x-ray are not abnormal, tuberculin test is negative. In the oral and maxillofacial surgical examination, there was a 2×2 cm mass in the anterior ear area of the left parotid gland, which was lightly tender. In front of the tragus, there is a 2 mm diameter gargle and the surrounding skin is scar tissue. The anterior wall of the left external auditory canal is swollen and the external auditory canal is narrow. There is 1 x 1.5cm of movable lymph nodes behind the left ear. On September 4, 1984, the left fistula gland and its superficial lobectomy were performed under general anesthesia. The wound healed for the first time. Pathological diagnosis is left