Xu Z J, Chen L S, Zhan J D, Xu M M, Zhang B, Huang S L, Lu Z M, Luo X N, Zhang S Y
Department of Otolaryngology Head and Neck Surgery, Huizhou Municipal Central People's Hospital, Huizhou, 516001,China.
Department of Otolaryngology Head and Neck Surgery, Guangdong General Hospital.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Nov 5;31(21):1684-1687. doi: 10.13201/j.issn.1001-1781.2017.21.015.
Evaluate the application value of modified rhytidectomy incision in superficial parotid gland tumor resection.Seventy-one patients with tumor in the superficial parotid were included in this study from January 2012 to January 2015. They all accepted superficial parotidectomy or subtotal superficial parotidectomy. Thirty-six cases used modified rhytidectomy incision and 35 cases used modified blair incision. The data of operative field exposure, operating time, bleeding, the rate of complication, score of patients's satisfaction were recorded and compared between the two groups.There was no statistically significant difference between the two groups in the operative field exposure, operating time and bleeding ( > 0.05). No difference was found between the two groups in the rate of facioplegia, while the rate of insensible earlobe in the modified rhytidectomy incision group was significantly lower than the modified blair incision group ( < 0.05). The score of patient's satisfaction in the modified rhytidectomy incision group was significantly higher than the other group ( < 0.05).The modified rhytidectomy incision provides good exposure and has the advantage of less complication and better cosmetic outcome. It is worthy of wide clinical application.
评估改良除皱切口在腮腺浅叶肿瘤切除术中的应用价值。2012年1月至2015年1月，本研究纳入71例腮腺浅叶肿瘤患者。他们均接受了腮腺浅叶切除术或腮腺浅叶次全切除术。36例采用改良除皱切口，35例采用改良布莱尔切口。记录并比较两组患者的术野暴露情况、手术时间、出血量、并发症发生率、患者满意度评分。两组在术野暴露、手术时间和出血量方面差异无统计学意义（P>0.05）。两组在面瘫发生率上无差异，但改良除皱切口组耳垂麻木发生率明显低于改良布莱尔切口组（P<0.05）。改良除皱切口组患者满意度评分明显高于另一组（P<0.05）。改良除皱切口术野暴露良好，具有并发症少、美容效果好的优点，值得临床广泛应用。
