目的 探讨耳前发际进路行涎腺肿物切除的可行性及美容效果.方法 对30例腮腺浅叶良性肿物(多形性腺瘤22例,脂肪瘤3例,血管瘤1例)及4例副腮腺多形性腺瘤患者,采用耳前发际进路行肿物切除.结果 全部病变被完整切除,切口愈合良好,无面神经麻痹,无涎液潴留、涎瘘发生及Frey征出现.经6个月～4年(平均46个月)追踪复查,肿瘤无复发,切口瘢痕隐蔽,美容效果非常满意.结论 经耳前发际进路切除耳前区涎腺良性病损是可行的,可获得较理想的美容效果.%Objective To evaluate the feasibleness and the comestic outcome of preauricular hairline incision approach for dissection of benign parotid tumors. Methods Four accessory lobe of the parotid gland and 26 cases clinical diagnosis of benign neoplasms located in superio superficial part of the parotid gland were the indication(pleomorphic adenoma in 22 patients, lipoma in 3 patient, and hemangioma in 1 patient) . All the cases were performed via preauricular hairline incision approach. Results All tumor removal were successfully performed. The wounds healed without any problem. No patient suffered from weakness of the facial nerve. No cases of salivary fistula and retention were found. The patients were followed up for an average period of 46 months. During the follow-up period, no recurrence of the tumors occurred. No one complained of the symptoms of Frye's syndrome. The incisions scar was invisible. All the patients showed good aesthetic results. Conclusion Dissection of benign salivary gland tumors by preauricular hairline incision approach is feasible and can provide an acceptable cosmetic outcome for benign lesions located in preauricular area.
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