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[腮腺区的外科解剖学。当前概念]

[Surgical anatomy of the parotid region. Current concepts].

作者信息

Gola R, Chossegros C, Carreau P

机构信息

Service de Stomatologie, Chirurgie Maxillo-faciale et Plastique de la face, CHU Nord, Marseille.

出版信息

Rev Stomatol Chir Maxillofac. 1994;95(6):395-410.

PMID:7855538
Abstract

Three zones of the parotid region situated in the cervicofacial area were studied. The bilobular architecture of the parotid gland, the relations between the facial nerve and the parotid gland and the cover plans are described. On the posterior border of the parotid there is a cleavage interlobular point where the facial nerve penetrates and can be dissected. Thus the facial nerve has four parts designated as retro, inter, intra and preglandular. The parotid gland and is surrounding capsula is covered by a superficial musculoaponeurosis and the skin. The musculoaponeurosis is used in cervicofacial lifting procedures and palliative treatment of facial palsy. It can also be used in certain situations (primary tumours of moderate size without capsula involvement) to fill retromandibular depressions after total parotidectomy.

摘要

对位于颈面部区域的腮腺区的三个区域进行了研究。描述了腮腺的双叶结构、面神经与腮腺的关系以及覆盖平面。在腮腺后缘有一个小叶间劈开点,面神经由此穿过并可进行解剖。因此,面神经有四个部分,分别称为腮腺后、腮腺间、腮腺内和腮腺前部分。腮腺及其周围的被膜被浅筋膜和皮肤覆盖。浅筋膜用于颈面部提升手术和面瘫的姑息治疗。在某些情况下(中等大小的原发性肿瘤,未累及被膜),它还可用于腮腺全切术后填充下颌后凹陷。

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