Abstract: Objectives:  To analyze  the incidence  and preventive measures of complications of modified Schobinger incision in neck dissection(ND). Methods: From January 1994 to December 2012, 429 cases of ND in primary oral squamous cell carcinoma (OSCC) with modified Schobinger incision was performed and retrospectively reviewed. Results: Of the 429 cases, postoperative complications occurred in 71 cases (16.55%). The most common complication was salivary fistula (6.29%), followed by damage of facial nerve of mandibular branch (3.96%). There were no deaths and serious complications. Conclusion: Modified Schobinger incision is reliable and safe for ND in OSCC.

Key words: primary oral squamous cell carcinoma; , neck dissection; , modified Schobinger incision; , complications

摘要： 目的：探讨头颈部鳞癌以改良Schobinger切口行颈淋巴清扫术的术后并发症发病率及防治方法。方法：回顾性分析1994-01-01—2012-12-31期间收治的，原发口腔鳞状细胞癌（oral squamous cell carcinoma, OSCC）并采用改良Schobinger切口行颈淋巴清扫术的，429例患者临床资料，对其术后并发症进行回顾性分析总结。结果：429例患者术后并发症发生率为16.55%  ,其中术后最常见的并发症是涎瘘（6.29%），其次为面神经下颌缘支神经损伤（3.96%）。围手术期无死亡病例，无重大神经、血管并发症发生。结论：基于本文统计数据分析，口腔鳞癌颈清术后的常见并发症为涎瘘（6.29%）和面神经下颌缘支神经损伤（3.96%）；改良Schobinger切口适用于口腔鳞癌颈淋巴结清扫术；围手术期采取预防措施可降低颈淋巴结清扫术的术后并发症发生。

关键词: 原发性口腔鳞癌；  , 颈淋巴结清扫术；  , 改良Schobinger切口；  , 并发症

CLC Number: 

• R739.81