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腮腺良性肿瘤切除术期间保留耳大神经。

Great auricular nerve preservation during parotidectomy for benign tumors.

作者信息

Becelli Roberto, Morello Roberto, Renzi Giancarlo, Matarazzo Giorgio

机构信息

From the Sant'Andrea Hospital, Faculty of Medicine and Psychology of University of Rome "La Sapienza," Rome, Italy.

出版信息

J Craniofac Surg. 2014 Mar;25(2):422-4. doi: 10.1097/SCS.0b013e3182a28c50.

DOI:10.1097/SCS.0b013e3182a28c50
PMID:24448539
Abstract

The great auricular nerve, the largest sensory branch of the cervical plexus, arises from the third cervical nerve (C3) with irregular contribution from the C2. The first part of its course is deep to the sternocleidomastoid muscle. In few years, many experiences by different authors concerning the issue of great auricular nerve integrity during parotidectomy were published in the literature. The aims of our article were to report our experience with 78 consecutive patients who underwent standard superficial, subtotal, or total parotidectomy for benign tumors and to illustrate postsurgical findings regarding the sensibility of the pinna and mandibular angle as subjectively reported in the early postsurgical period and after 3, 6, and 12 months from surgery.

摘要

耳大神经是颈丛最大的感觉分支,由第三颈神经(C3)发出,也有来自C2的不规则分支。其行程的第一部分位于胸锁乳突肌深面。近年来,不同作者关于腮腺切除术中耳大神经完整性问题的诸多经验发表于文献中。我们这篇文章的目的是报告我们对78例连续患者的经验,这些患者因良性肿瘤接受了标准的浅叶、次全或全腮腺切除术,并阐述术后早期以及术后3个月、6个月和12个月主观报告的耳廓和下颌角感觉的术后结果。

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