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目的:探讨胸锁乳突肌肌瓣修复腮腺浅叶及肿瘤切除术后术创的凹陷缺损,预防术后并发症的临床效果。方法:对33例腮腺多形性腺瘤病例,施行腮腺浅叶加肿瘤切除术,胸锁乳突肌瓣覆盖术区的术式。同时选择腮腺浅叶加肿瘤切除,不进行胸锁乳突肌肌瓣修复病例29例,进行对比分析。结果:治疗组33例随访1～5年,无肿瘤复发、面神经损伤及局部明显凹陷畸形,2例发生Fery’s综合征。对照组29例术后面部凹陷畸形发生率100%,Fery,s综合症发生27例(93.10%)。结论:腮腺浅叶切除术后同期行胸锁乳突肌瓣转移修复覆盖术区,可以有效预防术后面部凹陷畸形及Fery’s综合征的发生。
Objective: To investigate the clinical effect of sternocleidomastoid muscle flap for the repair of the dent defect after parotidectomy and tumor resection and the prevention of postoperative complications. Methods: 33 cases of parotid pleomorphic adenoma cases, the implementation of parotid lobes plus tumor resection, sternocleidomastoid flap covering the operation area. At the same time select the parotid gland plus tumor resection, without sternocleidomastoid muscle flap repair in 29 cases, for comparative analysis. Results: The treatment group of 33 patients were followed up for 1 to 5 years, no tumor recurrence, facial nerve injury and local obvious depression deformity, Fery’s syndrome occurred in 2 cases. In the control group, the incidence of facial deformity was 100% in 29 cases, 27 cases (93.10%) in Fery syndrome. CONCLUSIONS: The sternocleidomastoid flap transfer in the same period after parotidectomy is effective in preventing postoperative facial deformity and Fery’s syndrome.