Eitschberger E, Wangemann H H, Weidner F, Stolte M
HNO. 1982 Sep;30(9):346-9.
By means of histological sections the rare diagnosis of a basalioma of the temporal area with regional metastases in the parotid gland and in the neck could be verified. Subsequently the surgical treatment and the postoperative results are described. The operation consisted of an en bloc excision of the basalioma, exstirpation of the parotid gland and radical neck dissection. Since the tumor had also infiltrated the facial nerve, the nerve had to be sacrificed and reconstructed using the superficial peroneal nerve. In order to obtain immediately a satisfactory esthetic result in the face region, in addition to the facial nerve graft, the corner of the mouth and the eyelids were taken up using solvent dehydrated dura mater and parts of the temporal muscle and its fascia. A face-lifting supported this procedure. The primary closure of the temporal skin defect was successfully performed using a regional skin flap from the scalp.
通过组织学切片，可证实颞部基底细胞瘤伴腮腺及颈部区域转移这一罕见诊断。随后描述了手术治疗及术后结果。手术包括基底细胞瘤的整块切除、腮腺摘除及根治性颈清扫术。由于肿瘤已侵犯面神经，不得不牺牲该神经并采用腓浅神经进行重建。为了在面部区域立即获得满意的美学效果，除了面神经移植外，还使用溶剂脱水硬脑膜、部分颞肌及其筋膜对嘴角和眼睑进行了修复。面部提升术辅助了这一过程。利用头皮的局部皮瓣成功地对颞部皮肤缺损进行了一期缝合。
