摘要： 目的： 探讨腮腺手术中同期行胸锁乳突肌瓣转移术修复面部凹陷畸形的效果，及其对味觉出汗综合征（Frey综合征）预防作用。方法： 对29例腮腺肿瘤病人行肿瘤加腮腺深叶或全叶切除术，其中18例同期行蒂在上的胸锁乳突肌瓣转移修复术为研究组；剩余11例，只行腮腺肿瘤切除术为对照组。术后随访观察治疗结果。结果： 两组术后切口均I期愈合。经过12~18个月随访，研究组侧面外形良好，颈部外形及功能正常，未出现Frey综合征。对照组，面部外形较差，5例出现Frey综合征。结论： 胸锁乳突肌瓣转移术能明显改善腮腺肿瘤术后面侧部畸形，同时能有效降低味觉出汗综合征发生率。

关键词: 胸锁乳突肌瓣, 腮腺肿瘤切除术, 侧面凹陷畸形, Frey综合征

Abstract: Objective: To review whether the sternocleidomastoid muscle flap reconstruction was appropriate to prevent the incidence of Frey syndrome and facial contour deformity after parotidectomy.  Methods: 29 cases undergone parotdectomy were involed in this study. 18 patients were randomly undergone reconstruction of the surgical defect with a sternocleidomastoid muscle flap after parotidectomy; the other 11patients did not receive a flap. After 6-12 months, all  patients were evaluated via a short questionnaire, the starch-iodine test, and a visual examination. Results:  In  muscle flap restoration group, non of the 18 patients experienced abnormal facial contour deformity, and none of them were sweating, flushing or warmth while eating. In non-flap group, 5 patients showed a mild positive starch-iodine test, and all 11 patients manifested facial contour deformity. The difference was significant. Conclusion: Sternocleidomastoid muscle flaps are efficient for preventing Frey syndrome and facial contour deformity following parotidectomy.

Key words: sternocleidomastoid muscle flap, parotidectomy, facial contour deformity, Frey syndrome

中图分类号: 

• R739.87