Rappaport I, Allison G R
Ann Plast Surg. 1985 Apr;14(4):315-23. doi: 10.1097/00000637-198504000-00004.
Resection of the parotid area for tumor results in several deformities. In addition to the neck scar, there is a retromandibular and cheek depression. By using a rhytidectomy incision and advancement of the superficial musculoaponeurotic fascia, we have obtained excellent exposure for all parotid operations, including those for accessory parotid lobe lesions, and have corrected the resultant deformities initially or secondarily. This procedure has been used for superficial and deep lobe tumors, partial masseter muscle resection, and recurrent tumors without compromising any of the principles of parotid tumor resection. The approach has resulted in greater acceptance of the tumor surgery by patients and less dissatisfaction postoperatively.
腮腺区肿瘤切除会导致多种畸形。除颈部瘢痕外，下颌后和面颊部还会出现凹陷。通过采用除皱切口并推进表浅肌肉腱膜系统，我们在所有腮腺手术中都获得了极佳的术野暴露，包括那些针对副腮腺叶病变的手术，并且已对由此产生的畸形进行了一期或二期矫正。该手术方法已用于浅叶和深叶肿瘤、部分咬肌切除以及复发性肿瘤，且未违背任何腮腺肿瘤切除原则。这种手术入路使患者对肿瘤手术的接受度更高，术后不满情绪更少。
