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腮腺肿瘤是一种较为常见的涎腺肿瘤,由于腮腺恶性肿瘤发生率较高,而腮腺良性肿瘤较多具有局部侵袭性,被视为交界性肿瘤。行单纯肿瘤摘除复发率很高,一般主张行腺体大部分摘除或全摘除术。手术后的腮腺区呈明显的凹陷畸形,影响面部美观。采用胸锁乳突肌肌瓣作为颌面颈部组织缺损充填材料,文献已有较多的报道,但用于腮腺全切除术后同期行腮腺区缺损的修复,国内未见有文献报道。我们选择性应用上蒂胸锁乳突肌肌瓣和肌蒂岛状皮瓣转移,行一期腮腺组织缺损修复术共6例,取得满意效果,现报道如下。
Parotid gland tumor is a more common salivary gland tumors, parotid gland malignancy because of the higher incidence of parotid benign tumors are more localized invasion, is considered borderline tumors. Line simple tumor removal recurrence rate is high, the general advocate line most of the glands removed or total extirpation. After the operation of the parotid gland area was significantly concave deformity, affecting facial appearance. The use of sternocleidomastoid muscle flap as maxillofacial and cervical tissue defect filling material, literature has been more reported, but for parotid gland resection parotid gland defect repair, no domestic literature. We selectively applied on the pedicle sternocleidomastoid muscle flap and muscle pedicle island flap transfer, a line of parotid tissue defect repair a total of 6 cases, and achieved satisfactory results are reported below.