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目的:探讨改良腮腺多形性腺瘤手术方式的临床应用效果。方法:采用改良手术方式,切除腮腺多形性腺瘤62例,观察术后并发症。结果:62例术后均有不同程度面瘫,于术后2周～3个月内恢复正常,耳垂皮肤感觉减弱,于术后2月内恢复正常,无涎瘘发生,随访2～10年,Frey综合征2例,无肿瘤复发,术后术区无凹陷,切口疤痕隐蔽。结论:改良术式切除腮腺多形性腺瘤,与传统术式相比,能达到同样疗效,但具有保存耳大神经,胸锁乳突肌瓣修复术后缺损便利,术后Frey综合征发生率低,术区无凹陷畸形,切口隐蔽等优点。
Objective: To investigate the clinical effect of modified surgically treated parotid pleomorphic adenoma. Methods: A modified surgical method was used to excise 62 cases of parotid pleomorphic adenoma and observe the postoperative complications. Results: All of the 62 cases had facial paralysis at different degrees after operation, returned to normal within 2 weeks to 3 months after operation, and the sensation of the earlobe was weakened. They returned to normal within 2 months after operation and no salivary fistula occurred. The patients were followed up for 2 to 10 years, Frey’s syndrome in 2 cases, no tumor recurrence, postoperative no depression, incision scar hidden. Conclusion: The modified surgical removal of parotid pleomorphic adenoma, compared with the traditional surgical procedures, to achieve the same effect, but with preservation of the great auricle, sternocleidomastoid flap for postoperative defect repair, postoperative Frey syndrome incidence Low, no deformity deformity, incision hidden and so on.