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面神经颈支入路逆行腮腺切除术与顺行腮腺切除术的比较

Cervical branch of the facial nerve approach for retrograde parotidectomy compared with anterograde parotidectomy.

作者信息

Furusaka Tohru, Tanaka Akane, Matsuda Hiroshi, Hasegawa Hisashi, Asakawa Takeshi, Shigihara Shuntaro

机构信息

Department of Otolaryngology - Head and Neck Surgery, Nihon University School of Medicine , Tokyo.

出版信息

Acta Otolaryngol. 2014 Nov;134(11):1192-7. doi: 10.3109/00016489.2014.900701.

Abstract

CONCLUSION

The cervical branch of the facial nerve approach for parotidectomy is an excellent surgical technique that can reduce the incidence of facial nerve paralysis, surgical time, and surgical blood loss.

OBJECTIVE

To develop and evaluate a surgical technique for parotidectomy that can reduce the incidence of facial nerve paralysis.

METHODS

Retrograde parotidectomy following identification of the cervical branch of the facial nerve in 90 subjects was compared with standard anterograde parotidectomy in 100 subjects.

RESULTS

Retrograde parotidectomy with a cervical branch approach was associated with significant decreases in the incidence of facial nerve paralysis, surgical time, and surgical blood loss, compared with anterograde parotidectomy.

摘要

结论

面神经颈支入路腮腺切除术是一种优秀的手术技术,可降低面神经麻痹的发生率、手术时间和手术失血量。

目的

开发并评估一种可降低面神经麻痹发生率的腮腺切除手术技术。

方法

对90例经识别面神经颈支后行逆行腮腺切除术的患者与100例行标准顺行腮腺切除术的患者进行比较。

结果

与顺行腮腺切除术相比,采用颈支入路的逆行腮腺切除术使面神经麻痹发生率、手术时间和手术失血量显著降低。

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