耳后沟切口联合腮腺下极瓣修复在腮腺浅叶良性肿瘤手术中的应用

Application of retroauricular incision combined with subparotid flap repair in surgery for benign tumors of the superficial parotid lobe

摘要

目的 探讨耳后沟切口联合腮腺下极瓣修复术治疗腮腺浅叶良性肿瘤的疗效。方法 采用耳后沟切口，对26例腮腺浅叶良性肿瘤患者行腮腺浅叶部分切除、面神经解剖及腮腺下极瓣转移修复术，观察和评估术后疗效。结果 术后25例患者达到Ⅰ期愈合，1例患者出现涎漏，术后17 d完全愈合。经1~5年随访，所有患者未出现腮腺区凹陷畸形，正面及侧面无可见瘢痕，无肿瘤复发，无永久性面神经麻痹，无Frey综合征出现。结论 耳后沟切口联合腮腺下极瓣转移修复术可有效减少腮腺浅叶良性肿瘤术后局部凹陷畸形，具有切口隐蔽、美容效果好、并发症少等优点。

Abstract

Objective This study aimed to investigate the efficacy of a retroauricular incision combined with subparotid flap repair in treating benign tumors of the superficial parotid lobe. Methods A retroauricular incision was employed to perform partial resection of the superficial parotid lobe and facial nerve dissection in 26 patients with benign tumors. Subsequently, subparotid flap transfer repair was performed. Postoperative outcomes were observed and evaluated. Results Primary healing (stage I) was achieved in 25 patients. One patient experienced salivary leakage, which resolved completely by postoperative day 17. During follow-up periods ranging from 1-5 years, no patients exhibited parotid region concavity deformity, visible scarring on frontal or lateral views, tumor recurrence, permanent facial nerve paralysis, or Frey syndrome. Conclusion Retroauricular incision combined with subparotid flap transfer repair effectively reduces postoperative concavity deformity in the parotid region for benign tumors of the superficial parotid lobe, offering advantages, including concealed incisions, favorable aesthetic outcomes, and minimal complications.

关键词

腮腺下极瓣 / 耳后沟切口 / 腮腺肿瘤 / 美容

Key words

Subparotid flap / Retroauricular incision / Parotid tumor / Aesthetics

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