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[腮腺切除术中保留完整腮腺筋膜的临床研究]

[The clinical study of complete remaining parotid fascia in parotidectomy].

作者信息

Cui Guangxue, Zhang Yongchun, Song Rongxue, Cheng Zhifu, Liu Jianwei, Wang Zhiqiang

机构信息

Department of Oral and Maxillofacial Surgery, the Affiliated Hospital, Chifeng University, Chifeng, 024000, Innermongolia, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2013 Aug;27(15):804-6.

Abstract

OBJECTIVE

To introduce a new method of complete remaining parotid fascia in parotidectomy, preventing Frey's syndrome.

METHOD

Thirty-five patients with benign tumor in the parotid gland were treated by remaining parotid fascia. All 35 patients were followed up after 6 months to 24 months.

RESULT

The parotid fasciae of 26 out of 35 were remained completely and none of these 26 patients developed Frey's syndrome. The parotid fasciae of 9 out of 35 were excised partly and Frey's syndrome occurred in 2 of these 9 patients. There was significant difference of Frey's syndrome between the parotid fasciae being remained completely and the parotid fasciae being remained partly.

CONCLUSION

The parotid fascia could be reserved completely in parotidectomy. The complete parotid fascia could prevent Frey's syndrome in the patients after undergoing parotidectomy.

摘要

目的

介绍一种在腮腺切除术中完整保留腮腺筋膜以预防味觉出汗综合征的新方法。

方法

对35例腮腺良性肿瘤患者采用保留腮腺筋膜的方法进行治疗。35例患者均进行了6个月至24个月的随访。

结果

35例中26例腮腺筋膜完整保留,这26例患者均未发生味觉出汗综合征。35例中9例腮腺筋膜部分切除,这9例患者中有2例发生了味觉出汗综合征。腮腺筋膜完整保留组与部分保留组在味觉出汗综合征方面存在显著差异。

结论

腮腺切除术可完整保留腮腺筋膜。完整保留腮腺筋膜可预防腮腺切除术后患者发生味觉出汗综合征。

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