改良耳后发际切口在腮腺浅叶肿瘤切除术中的应用

摘要

目的 通过与改良Blair切口(MBI)比较,评价改良耳后发际切口(RAHI)在腮腺浅叶肿瘤切除术中的应用价值.方法 回顾性分析64例接受部分腮腺浅叶切除术的良性腮腺肿瘤患者的病历资料,其中MBI组28例,RAHI组36例,比较RAHI和MBI两组间肿瘤的大小和位置,手术时间,面神经麻痹和Frey综合征的发生情况以及美容结果.结果 RAHI组比MBI组有更高的平均满意度分数,显示更好的美容效果(P＜0.001).RAHI组和MBI组在手术时间、肿瘤位置、肿瘤大小、临时或永久性面神经麻痹、Frey综合征比较差异均无统计学意义(P值均＞0.05).结论 与MBI相比,RAHI应用于腮腺浅叶肿瘤切除,具有更好的美容效果,未增加手术时间或术后并发症,值得临床推广应用.%Objective To evaluate the usefulness of retroauricular hairline incision (RAHI) in partial superficial parotidectomy (PSP) by comparison with modified Blair incision (MBI).Methods A retrospective analysis of 64 medical records for patients with benign parotid tumors who underwent partial superficial parotidectomy was undertaken (28 were in MBI group,36 in RAHI group).Size and location of tumors,operative time,occurrence of facial nerve paralysis and Frey's syndrome,and cosmetic outcomes were compared between RAHI and MBI groups.Results Compared with MBI group,RAHI group showed better cosmetic results for benign parotid tumors in mean satisfaction score (P ＜ 0.001).There were no significant differences in size and location of tumors,operative time,incidence of transient or permanent facial nerve paralysis and Frey's syndrome between two groups (P ＞ 0.05).Conclusions Partial superficial parotidectomy can be performed safely via RAHI in most cases of benign parotid tumors.Compared with MBI,RAHI for benign parotid tumorscan improve the cosmetic outcome,without increasing the operative time or operative morbidity.