腮腺手术中皮瓣厚度与弗雷综合征的关系。
Association between skin flap thickness and Frey's syndrome in parotid surgery.
机构信息
Department of Otolaryngology, Uludağ University Medical School, Nilufer-Bursa, Turkey.
出版信息
Head Neck. 2013 Dec;35(12):1781-6. doi: 10.1002/hed.23233. Epub 2013 Mar 8.
BACKGROUND
Frey's Syndrome is a frequent complication of parotid surgery. The aim of this study was to evaluate the association between skin flap thickness and Frey's Syndrome in patients who underwent superficial parotidectomy.
METHODS
Thirty adult patients were randomized into 2 groups: subcutaneous and subsuperficial musculoaponeurotic (sub-SMAS) skin elevation. In both groups skin flap thickness was measured by a micrometer at defined points. The patients were queried for subjective Frey's Syndrome and Minor's test was performed for objective Frey's Syndrome.
RESULTS
The thickness of skin flap in the subcutaneous group was significantly less than that in the sub-SMAS group. There was no statistical significance between skin flap thickness and objective Frey's Syndrome, although the dimension of the colored area in the subcutaneous group was larger compared with that of the sub-SMAS group: 7.5 cm(2) (0-48 cm(2) ) and 0.5 cm(2) (0-18 cm(2) ), respectively.
CONCLUSIONS
In conclusion, sub-SMAS elevation of the skin flap in parotid surgery provides better results regarding Frey's Syndrome.
背景
Frey 综合征是腮腺手术后常见的并发症。本研究旨在评估行腮腺浅叶切除术患者皮瓣厚度与 Frey 综合征之间的关系。
方法
30 名成年患者随机分为两组：皮下和皮下浅筋膜间隙（sub-SMAS）皮瓣提升。两组均使用测微器在特定部位测量皮瓣厚度。询问患者主观 Frey 综合征，行 Minor 试验进行客观 Frey 综合征检查。
结果
皮下组皮瓣厚度明显小于 sub-SMAS 组。皮瓣厚度与客观 Frey 综合征之间无统计学意义，尽管皮下组着色区的面积比 sub-SMAS 组大：分别为 7.5cm²（0-48cm²）和 0.5cm²（0-18cm²）。
结论
总之，腮腺手术中 sub-SMAS 皮瓣提升在 Frey 综合征方面提供了更好的结果。
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