Terris D J, Tuffo K M, Fee W E
Division of Otolaryngology/Head and Neck Surgery, Stanford University Medical Center, California.
J Laryngol Otol. 1994 Jul;108(7):574-8. doi: 10.1017/s002221510012746x.
The most commonly used incision for parotidectomies is the modified Blair incision. We have successfully used an alternative incision which allows good exposure, and leaves no neck scar. Between 1 March 1989 and 1 August 1991, 18 parotidectomies were performed using a modified facelift incision. Fifteen parotidectomies were done for similar indications during the same period using a modified Blair incision. The mean age in both groups of patients was 40.3 years. The pathology and incidence of complications was similar in the two groups. The difference in mean (+/- SD) time of surgery between the two groups was not statistically significant: 3.14 +/- 0.75 hours in patients with a modified facelift incision and 3.25 +/- 1.27 hours in patients with a modified Blair incision (p > 0.1). The modified facelift incision is an alternative approach to parotidectomy for selected patients. It provides adequate exposure, even for a total parotidectomy and mastoidectomy and it results in improved patient satisfaction without additional risk of complications.
腮腺切除术最常用的切口是改良的布莱尔切口。我们成功地使用了一种替代切口，该切口能提供良好的暴露，且不会在颈部留下疤痕。在1989年3月1日至1991年8月1日期间，采用改良的面部提升切口进行了18例腮腺切除术。同期，采用改良的布莱尔切口进行了15例腮腺切除术，适应证相似。两组患者的平均年龄均为40.3岁。两组的病理情况和并发症发生率相似。两组之间平均（±标准差）手术时间的差异无统计学意义：改良面部提升切口患者为3.14±0.75小时，改良布莱尔切口患者为3.25±1.27小时（p>0.1）。改良的面部提升切口是为特定患者进行腮腺切除术的一种替代方法。它能提供充分的暴露，即使对于全腮腺切除术和乳突切除术也是如此，并且能提高患者满意度，而不会增加并发症风险。
