Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, William Beaumont Hospital, Troy, Michigan, USA,
Laryngoscope. 2011 Dec;121(12):2581-5. doi: 10.1002/lary.22154. Epub 2011 Oct 13.
OBJECTIVES/HYPOTHESIS: Described is a technique adopted for surgical management of benign parotid neoplasms with an emphasis on facial reconstruction and prevention of postparotidectomy sequelae.
Observation/surgical technique.
Patients chosen in the last 10 years with benign parotid neoplasms with the application of this technique.
In over 150 cases of benign parotid neoplasms performed in the last 10 years by the senior author using this technique, no cases of clinically significant Frey syndrome were identified. Two cases of marginal nerve paresis transpired, but spontaneously resolved within several months. No cases of postoperative hematoma, wound infection, salivary fistula, or hypertrophic scar formation were noted. Subjectively, patient satisfaction was uniformly high relating to scar appearance and facial contour. There have been no local recurrences to date despite six cases of nonviolated tumor capsule abutting the resection margin.
The application of a superficial musculoaponeurotic system-platysma flap can alleviate the depression in the retromandibular region following superficial parotidectomy for moderately sized benign neoplasms. It has also shown to help prevent postparotidectomy sequelae of Frey syndrome.
目的/假说：描述了一种用于良性腮腺肿瘤手术治疗的技术，重点是面部重建和预防腮腺切除术后后遗症。
观察/手术技术。
选择过去 10 年内应用该技术治疗的良性腮腺肿瘤患者。
在过去 10 年中，由资深作者使用该技术对超过 150 例良性腮腺肿瘤患者进行了手术，未发现有临床意义的 Frey 综合征病例。发生了 2 例边缘神经麻痹，但在几个月内自发缓解。未发生术后血肿、伤口感染、涎瘘或肥厚性瘢痕形成。患者对瘢痕外观和面部轮廓的满意度均很高。尽管有 6 例肿瘤包膜未受侵犯，紧贴切除边缘，但迄今为止尚无局部复发。
对于中等大小的良性肿瘤，应用浅表肌肉筋膜系统-颈阔肌瓣可减轻腮腺浅叶切除术后下颌后区的凹陷。它还有助于预防腮腺切除术后 Frey 综合征的后遗症。
