Dept. of Oral and Maxillofacial Surgery, The Affilliated Stomatological Hospital of Nanchang University, The Key Laboratory of Oral Biomedicine in Jiangxi Province, Nanchang 330006, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2021 Jun 1;39(3):293-299. doi: 10.7518/hxkq.2021.03.008.
This study aimed to evaluate the application value of a modified retroauricular hairline incision and a sternocleidomastoid flap with an inferior pedicle in the resection of benign parotid gland tumors.
Forty-eight patients with benign parotid gland tumors were retrospectively analyzed: 19 cases were included in the experimental group with an improved retroauricular hairline incision and a sternocleidomastoid flap with an inferior pedicle, and 29 cases were assigned in the control group with a modified facelift incision. Operation time, postoperative drainage, postoperative esthetic degree, and incidence of facial nerve paralysis, salivary fistula, and Frey's syndrome were compared.
After the esthetic procedure, the average score of the experimental group was higher than that of the control group, and the esthetic effect of the former was better than that of the latter (<0.05). The incidence of the operation time, facial nerve paralysis, salivary fistula, and Frey's syndrome of both groups had no statistically significant differences (>0.05).
The modified retroauricular hairline incision and sternocleidomastoid flap with an inferior pedicle can be applied to resect benign parotid gland tumors safely. It shows a better cosmetic effect and does not cause obvious postoperative complications. Therefore, it should be promoted for tumor treatments.
本研究旨在评估改良耳后发际切口和带蒂下蒂胸锁乳突肌皮瓣在良性腮腺肿瘤切除中的应用价值。
回顾性分析 48 例良性腮腺肿瘤患者，实验组 19 例采用改良耳后发际切口和带蒂下蒂胸锁乳突肌皮瓣，对照组 29 例行改良面部提升切口。比较手术时间、术后引流、术后美观程度、面神经麻痹、涎瘘和 Frey 综合征的发生率。
美容术后，实验组平均评分高于对照组，前者美容效果优于后者（<0.05）。两组手术时间、面神经麻痹、涎瘘和 Frey 综合征的发生率无统计学差异（>0.05）。
改良耳后发际切口和带蒂下蒂胸锁乳突肌皮瓣可安全用于切除良性腮腺肿瘤。它具有更好的美容效果，不会引起明显的术后并发症。因此，应推广用于肿瘤治疗。
