面神经中段解剖法在区域性腮腺切除术中的应用
Clinical application of midpiece facial nerve dissection in regional parotidectomy
作者：李浩,吴坡,蒋佶,赵潇黎,郑维银,羊书勇
Author：Li Hao,Wu Po,Jiang Ji,Zhao Xiaoli,Zheng Weiyin,Yang Shuyong
收稿日期：2019-04-05 年卷（期）页码：2020,38(1):37-37-41
期刊名称：华西口腔医学杂志
Journal Name：West China Journal of Stomatology
关键字：面神经,腮腺良性肿瘤,区域性腮腺切除术,逆行解剖法,顺行解剖法,中段解剖法,
Key words：facial nerve,parotid gland benign tumor,regional parotidectomy,anterograde dissection,retrograde dissection,midpiece dissection,
基金项目：
中文摘要
目的 提出经腮腺实质内面神经中段解剖法并评价其在区域性腮腺切除术中的应用效果。方法 回顾性统计了自2016年1月至2017年12月行腮腺良性肿瘤手术患者136例,按照面神经解剖方法分类,分为顺行总干解剖法（顺行组,70例）、逆行分支解剖法（逆行组,34例）、实质内中段解剖法（中段组,32例）,比较3组的手术时间,面神经损伤和耳垂感觉状况,涎瘘、Frey’s综合征发生率,并进行美学评价。结果 中段组手术时间较其他两组明显缩短（PPPPP结论 面神经中段解剖法在技术上是可以实行的,在腮腺良性肿瘤的区域性切除术中,可以取得较好的临床效果,具有一定的临床应用价值。
英文摘要
ObjectiveTo propose and evaluate the clinical effect of midpiece facial nerve dissection through transparotid approach in regional parotidectomy.MethodsA total of 136 patients with benign parotid tumors were categorized into three groups according to the way of facial nerve dissection: anterograde dissection from main trunk (anterograde, n=70), retrograde dissection from distal branches (retrograde, n=34), and midpiece dissection through transparotid approach (middle dissection, n=32). Surgery duration, facial nerve injury, salivary fistula, earlobe sensation, Frey’s syndrome, and aesthetic evaluation were compared.ResultsThe surgery duration in the middle dissection group was significantly shorter than that in the other two groups. The proportion of salivary fistula was higher in the anterograde group (9 cases, 12.9%;PPPConclusionMidpiece facial nerve dissection is technically feasible and clinically viable in regional parotidectomy.
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