Service d'otorhinolaryngologie et de chirurgie cervico-faciale, HEGP, AP-HP, université Paris Cité, 20-40, rue Leblanc, 75015 Paris, France.
Service d'otorhinolaryngologie et de chirurgie cervico-faciale, HEGP, AP-HP, université Paris Cité, 20-40, rue Leblanc, 75015 Paris, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2024 May;141(3):167-171. doi: 10.1016/j.anorl.2024.01.003. Epub 2024 Feb 7.
To describe, according to the CARE guidelines, an easily reproducible technique using two local muscle flaps to reduce the unsightly retromandibular hollow left by total parotidectomy for cancer.
A 40-year-old Caucasian male with T3N1M0 temporal skin melanoma was managed by skin resection, conservative total parotidectomy and ipsilateral level II-IV selective lymph-node dissection. Two rotational muscle flaps were taken from the ipsilateral posterior belly of the digastric and sternocleidomastoid muscles. Postoperative course was uneventful, with 3 days' hospital stay, without facial or spinal palsy. At 3 days, 3 months and 9 months postoperatively, the appearance of the parotid region was similar to the non-operated contralateral region.
Easy to perform and without associated scars, the approach described here should be included in the armamentarium available to the head and neck surgeon to avoid an unsightly hollow after total parotidectomy for cancer, in an effort to improve quality of life.
根据 CARE 指南，描述一种可重现的技术，使用两个局部肌瓣来减少因癌症行腮腺全切除术后难看的下颌后区凹陷。
一名 40 岁白人男性，患有 T3N1M0 颞部皮肤黑色素瘤，行皮肤切除术、保守性腮腺全切除及同侧Ⅱ-Ⅳ区选择性颈淋巴结清扫术。从同侧二腹肌后腹和胸锁乳突肌切取两个旋转肌瓣。术后无并发症，住院 3 天，无面瘫或脊髓损伤。术后 3 天、3 个月和 9 个月，腮腺区的外观与未手术的对侧相似。
该方法易于操作，且无相关瘢痕，因此应成为头颈部外科医生的治疗手段之一，以避免癌症行腮腺全切除术后出现难看的凹陷，从而提高生活质量。
