Kim D Y, An S H, Woo J H, Baek M K, Kang I G
Department of Otorhinolaryngology-Head and Neck Surgery, Gachon University School of Medicine, Gil Medical Center.
Br J Oral Maxillofac Surg. 2019 May;57(4):301-305. doi: 10.1016/j.bjoms.2019.01.012. Epub 2019 Apr 2.
Although skin depression after parotidectomy affects the patient's satisfaction with cosmesis we know of little research about it, so we attempted to alleviate it by inserting human acellular dermal matrix (hADM) after the operation. We made a retrospective analysis of the casenotes of 63 patients who were diagnosed with parotid tumours and were operated on between January 2015 and December 2016. Factors that affect satisfaction with cosmesis, including the use of hADM, sex, age, incision, size of tumour, sample size, complications, and the name of the surgeon were recorded and evaluated on a scale from 1 (most unsatisfactory) to 10 (very satisfactory), and the satisfaction according to each factor was compared. The mean (SD) follow-up period was 13 (6) months, and 19 of the 63 patients developed complications. Satisfaction was significantly better when hADM had been inserted (p=0.0008), when the patient was female (p=0.033), or there were no complications p=0.0161). On linear regression analysis, all three factors showed a significant causal relation with satisfactory cosmesis. Insertion of hADM after operations on the parotid gland seems to be effective in improving this by preventing skin depression.
尽管腮腺切除术后皮肤凹陷会影响患者对美容效果的满意度，但我们对其了解甚少，因此我们尝试在术后植入人脱细胞真皮基质（hADM）来缓解这一问题。我们对2015年1月至2016年12月期间63例被诊断为腮腺肿瘤并接受手术的患者病历进行了回顾性分析。记录并评估影响美容满意度的因素，包括hADM的使用、性别、年龄、切口、肿瘤大小、样本量、并发症以及外科医生姓名，评分范围为1（最不满意）至10（非常满意），并比较各因素的满意度。平均（标准差）随访期为13（6）个月，63例患者中有19例出现并发症。植入hADM（p=0.0008）、患者为女性（p=0.033）或无并发症（p=0.0161）时，满意度明显更高。线性回归分析显示，这三个因素均与满意的美容效果存在显著因果关系。腮腺手术后植入hADM似乎可通过预防皮肤凹陷有效改善这一情况。
