Dabrowska-Bień Justyna, Pietniczka-Załeska Mirosława, Rowicki Tomasz
Oddział Otolaryngologii Miedzyleskiego Szpitala, Specjalistycznego w Warszawie.
Otolaryngol Pol. 2009 Nov-Dec;63(6):485-9. doi: 10.1016/S0030-6657(09)70166-0.
Traditional approaches parotidectomy leaves a visible scar and a hollow on the face and neck, which might be dissappointing to some patients.
Assessment of usefulness of facelift approach to the parotid gland
A retrospective study was performed. In June 2009 eight patients with benign parotid tumour underwent superficial parotidectomy. Four of them were included in the rhytidectomy approach parotidectomies and SMAS advancement flap was carried out to reconstruct the parotid bed and prevent Frey's syndrome. The latter patients underwent the classical technique parotidectomies. After two months from the operation both groups of patients were asked to assess the cosmetic outcome of the surgery in five degree scale.
The duration of the operation increased by an average of 20 minutes in the rhytidectomy approach group. No major difficulties in exposing the facial nerve and its branches were observed. Patients were more satisfied when facelift approach was performed.
A rhytidectomy approach to the parotid gland seems to be safe method and aesthetic results are more satisfactory as comparing to classical approach.
传统腮腺切除术会在面部和颈部留下明显的疤痕和凹陷，这可能会让一些患者感到失望。
评估面部提升术式治疗腮腺疾病的有效性
进行了一项回顾性研究。2009年6月，8例患有腮腺良性肿瘤的患者接受了浅叶腮腺切除术。其中4例采用面部除皱术式腮腺切除术，并进行了SMAS推进皮瓣以重建腮腺床并预防味觉出汗综合征。后4例患者接受了经典技术腮腺切除术。术后两个月，两组患者均被要求以五级量表评估手术的美容效果。
面部除皱术式组的手术时间平均增加了20分钟。在暴露面神经及其分支方面未观察到重大困难。采用面部提升术时患者更满意。
与经典术式相比，面部除皱术式治疗腮腺疾病似乎是一种安全的方法，美学效果更令人满意。
