Liu Xiangyu, Yu Xueyuan, Guo Yuan, Shu Maoguo, Zhang Ming
Department of Aesthetic Plastic and Craniofacial Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Department of Radiology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, China.
J Cosmet Dermatol. 2024 Dec;23(12):4161-4166. doi: 10.1111/jocd.16521. Epub 2024 Aug 19.
The purpose of this retrospective patient chart review was to analyze the clinical data of 52 patients with benign parotid tumors who underwent modified buried vertical mattress sutures and to assess the postoperative complication rate and patient scarring.
A total of 52 patients with benign parotid tumors underwent total parotidectomy and modified buried vertical mattress suture. Variables included general characteristics (age, gender, tumor diameter, and pathologic type), surgical indicators (suture time, wound healing time, operative time, hospital stay, bleeding volume, and drainage volume), complication rates, and Sunnybrook facial neurological function score, visual scar scale (VSS) score and patient and observer scar assessment scale (POSAS) score.
Most tumors were less than 3 cm in diameter, with pleomorphic adenomas being the most common. Suture time was 14.83 ± 1.61 min, operative time was 58.90 ± 15.76 min and hospital stay were 5.12 ± 0.96 days. Postoperatively, salivary fistulae developed in one patient, Frey's syndrome in two patients, temporary facial paralysis in six patients and temporary numbness in the incision area in six patients. At 6 months postoperatively, 86.5% of patients had a Sunnybrook score of more than 80, and VSS scores and POSAS scores were between one and two.
The postoperative complication rate was 30.8%, and the scarring in the facial incision area was mild and close to normal skin at 3 years postoperatively.
本回顾性患者病历审查旨在分析52例行改良埋没垂直褥式缝合的腮腺良性肿瘤患者的临床资料，并评估术后并发症发生率及患者瘢痕情况。
52例腮腺良性肿瘤患者行腮腺全切除术及改良埋没垂直褥式缝合。变量包括一般特征（年龄、性别、肿瘤直径及病理类型）、手术指标（缝合时间、伤口愈合时间、手术时间、住院时间、出血量及引流量）、并发症发生率、阳光布鲁克面部神经功能评分、视觉瘢痕量表（VSS）评分以及患者和观察者瘢痕评估量表（POSAS）评分。
大多数肿瘤直径小于3 cm，多形性腺瘤最为常见。缝合时间为14.83±1.61分钟，手术时间为58.90±15.76分钟，住院时间为5.12±0.96天。术后，1例患者发生涎瘘，2例患者出现味觉出汗综合征，6例患者出现暂时性面瘫，6例患者切口区域出现暂时性麻木。术后6个月，86.5%的患者阳光布鲁克评分为80分以上，VSS评分和POSAS评分在1至2分之间。
术后并发症发生率为30.8%，面部切口区域瘢痕在术后3年时较轻，接近正常皮肤。
