论文部分内容阅读
目的探讨胸锁乳突肌肌瓣即刻修复腮腺肿瘤术后面部凹陷畸形和减少术后味觉出汗综合征(Frey综合征)发生的临床效果。方法选择2006年1月至2009年1月蚌埠医学院第一附属医院口腔科腮腺肿瘤住院手术患者68例,分为试验组48例、对照组20例。试验组患者按常规“S”切口施行腮腺肿瘤加腮腺浅叶或全叶切除术,同期行胸锁乳突肌肌瓣转移修复术;对照组则不行同期肌瓣修复,经随访对比观察6月至3年。结果对照组局部凹陷畸形发生率为90%(18/20),Frey综合征发生率为55%(11/20);试验组局部凹陷畸形发生率为16.67%(8/48),Frey综合征发生率为8.33%(4/48),两组间差异有统计学意义(P<0.01)。结论胸锁乳突肌肌瓣转移修复术是一种即刻修复腮腺肿瘤术后面部凹陷畸形和降低Frey综合征发生率的较好方法。
Objective To investigate the clinical effect of sternocleidomastoid muscle flap for immediate repair of facial deformity in parotid tumors and reduction of postoperative taste-sweat syndrome (Frey syndrome). Methods From January 2006 to January 2009, 68 cases of oral surgery for parotid tumor in the First Affiliated Hospital of Bengbu Medical College were divided into experimental group (48 cases) and control group (20 cases). The patients in the experimental group underwent routine parotidectomy with parotid gland tumor plus parotid gland lobectomy or total lobectomy underwent routine sternotomy. The control group received no repair of muscle flap during the same period, June to 3 years. Results The incidence of local deformity in the control group was 90% (18/20), and the incidence of Frey syndrome was 55% (11/20). The incidence of local deformity in the experimental group was 16.67% (8/48), Frey syndrome The incidence was 8.33% (4/48), the difference between the two groups was statistically significant (P <0.01). Conclusion Sternocleidomastoid muscle flap transfer repair is a good method to repair the facial deformity and reduce the incidence of Frey’s syndrome after parotidectomy operation.