Zhang R, Nong X L, Zhang S
Department of Head and Neck Surgery,the Central Hospital of Zhengzhou Affiliated To Zhengzhou University,Zhengzhou,450007,China.
Department of Neuro Electrophysiology,the Central Hospital of Zhengzhou Affiliated to Zhengzhou University.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Mar 20;31(6):456-460. doi: 10.13201/j.issn.1001-1781.2017.06.011.
To compare the function of facial nerves in patients with parotid benign tumors underwent surgery with retrograde method to expose nerve trunk or the marginal mandibular branch.Fifty-five hospital patients from March 2013 to september 2015 were involved in this study and divided into group A(facial nerve trunk exposure, 27 cases), B group(facial nerve mandible branch exposure, 28 cases). Facial nerve injury in two groups was evaluated by observation of abnormal facial performance and electrophysiological techniques. After a follow up of 1 year, the postoperative incidence of facial nerve injury in group A and group B were 7.41% and 25%, respectively, which was evaluated by observation of abnormal facial performance. Moreover,the rates were 14.81%, 30.29%, respectively, which was evaluated by electrophysiological techniques. The rate of postoperative facial nerve injury in group B of patients with was significantly higher than that of group A(<0.05). Operation with facial nerve trunk exposure can obviously reduce the occurrence of symptoms of facial paralysis in diameter <5 cm of the parotid benign tumor surgery, is suitable for clinical application.
比较采用逆行法暴露神经主干或下颌缘支手术治疗腮腺良性肿瘤患者的面神经功能。选取2013年3月至2015年9月在我院就诊的55例患者纳入本研究，分为A组（暴露面神经主干，27例）、B组（暴露面神经下颌缘支，28例）。通过观察面部异常表现及电生理技术评估两组面神经损伤情况。随访1年，通过观察面部异常表现评估，A组和B组术后面神经损伤发生率分别为7.41%和25%；通过电生理技术评估，发生率分别为14.81%、30.29%。B组患者术后面神经损伤发生率明显高于A组（<0.05）。面神经主干暴露手术可明显降低直径<5 cm腮腺良性肿瘤手术面瘫症状的发生，适合临床应用。
