Application of V-shaped Incision for Parotidectomy Preservation of Superficial Musculoaponeurotic System

doi:10.3969/j.issn.1005-4979.2019.02.007

Abstract

Abstract:

Objective: To evaluate the feasibility and efficacy of a V-shaped incision for parotidectomy with preservation of superficial musculoaponeurotic system（SMAS）. Methods: 21 patients with benign parotid diseases were collected from Xuzhou Central Hospital. A V-shaped incision for parotidectomy applied to undergo with the preservation of superficial musculoaponeurotic system between Jan. 2018 and Jan. 2019 were reviewed. Three factors including the operative process, the postoperative facial contour and complications of the operation were followed up． Results: All patients were found a smooth operation with good exposure，satisfactory recovery of esthetic results and no permanent nerve injury. Conclusion: The V-shaped incision for parotidectomy with the preservation of superficial musculoaponeurotic system could achieve satisfying esthetic results, which deserves further investigation and promotion.

Key words: parotidectomy, V-shaped musculoaponeurotic system

摘要：

目的：探讨V形切口下保留表浅肌肉腱膜在腮腺切除术中应用的可行性及有效性。方法：对2018-01—2019-01在徐州市中心医院口腔科采用V形切口下保留SMAS（Superficial Musculoaponeurotic System）术式进行腮腺切除术治疗的21例腮腺良性病变患者进行跟踪随访，通过手术过程情况、面形外观及手术并发症三个方面对手术进行评价。结果：所有患者手术过程顺利，术中暴露良好，术后外形恢复满意，未出现永久性神经症状。结论：V形切口下保留表浅肌肉腱膜术式可以获得相对满意的美观效果，其临床应用价值值得进一步扩大研究。

关键词: 腮腺切除术, V形切口, 表浅肌肉腱膜

王梦尧孟箭. V形切口下保留表浅肌肉腱膜在腮腺切除术中的应用[J]. 《口腔颌面外科杂志》, doi: 10.3969/j.issn.1005-4979.2019.02.007.

/ / Recommend / Download Citations

URL: https://journal06.magtech.org.cn/Jweb_joms/EN/10.3969/j.issn.1005-4979.2019.02.007

https://journal06.magtech.org.cn/Jweb_joms/EN/Y2019/V29/I2/97

References

[1] Petroianu A. Parotidectomy through periauricular incision [J]. Acta Med Por,2011, 24 Suppl 2:103-106.

[2]邹芳,秦旭，陈卫民.腮腺切除术中除皱美容切口的研究进展[J].临床口腔医学杂志,2014,30(11):694-696.

[3]Kim I, Cho H, Cho H, et al. Facelift incision and superficial musculoaponeurotic system advancement in parotidectomy: case reports[J]. Maxillofac Plast Reconstr Surg,2015,37(1): 40.

[4]段文锴,王艳华.腮腺良性肿瘤两种切除术式的疗效比较[J].口腔颌面外科杂志,2016,26(2):127-129.

[5]郑纪伟, 郭宏亮, 王婉晴, 等.腮腺美容切口在腮腺肿瘤切除术中应用的临床效果分析[J].中国医疗美容,2018,8(8):43-46.

[6]Kaya BV, et al. Long-term effects of parotidectomy[J].Eur Arch Otorhinolaryngol,2016,273(12):4579-4583.

[7]Appiani E. Handling of a parotidectomy and muscular graft[J]. Prensa Med Argent. 1967,54(25):1242-1243.

[8]Nouraei SAR, AL-Yaghchi C, Ahmed J, et al. An anatomical comparison of Blair and facelift incisions for parotid surgery[J].Clin Otolaryngol,2006,31(6):531-534.

[9]Yuen AP-W. Small access postaural parotidectomy: an analysis of techniques, feasibility and safety[J]. Eur Arch Otorhinolaryngol,2016,273（7）:1879-1883.

[10]Yuen AP-W. Aesthetic consideration of parotidectomy – post-aural approach and extended sternomastoid flap: how we do it[J]. Clin Otolaryngol,2010,35(3):231-234.

[11]Ahn D, Sohn JH, Lee GJ. Feasibility of a new V-shaped incision for parotidectomy: a preliminary report[J]. Br J Oral Maxillofac Surg,2018,56（5）:406-410.

[12]Gantwerker EA, Hom DB. Principles to Minimize Scar[J].Facial Plast Surg,2012,28(5):472-486.

[13]周宇,李森恺,李强.面部除皱术的外科进展[J].中国美容整形外科杂志,2017,28(1):53-56.

[14]Chen WL, Yang ZH,Huang ZQ, et al. SMAS fold flap and allograft dermal matrix repairing parotid bed following parotidectomy to prevent facial deformity and Frey’s syndrome[J].中国口腔颌面外科杂志,2007,5(4):265-269.

[15]Cesteleyn L , Helman J , King S , et al. Temporoparietal fascia flaps and superficial musculoaponeurotic system plication in parotid surgery reduces Freys syndrome[J]. J Oral Maxil Surg,2002,60(11):1284-1297.

[16]Casler MJ, Conley J . Sternocleidomastoid muscle transfer and superficial musculoaponeurotic system plication in the prevention of Frey's syndrome[J]. Laryngoscope, 1991, 101(1):95-100.

[17]刘秉尧,曹罡,董震,等.游离和非游离保留表浅肌肉腱膜在降低腮腺肿瘤术后复发及Frey综合征的临床应用[J].口腔颌面外科杂志,2016,26(4):264-268.

Please choose a citation manager

Content to export