口腔医学研究

口腔医学研究 ›› 2020, Vol. 36 ›› Issue (11): 1036-1039.DOI: 10.13701/j.cnki.kqyxyj.2020.11.012

• 口腔颌面外科学研究 • 上一篇    下一篇

胸锁乳突肌瓣与口腔修复膜在腮腺良性肿瘤术后应用的比较分析

陶博强, 刘映坤, 李雨阳, 闵锋鹤, 刘慧敏, 杨之婧, 刘炜炜*   

  1. 吉林大学口腔医院口腔颌面外二科,吉林省牙发育及颌骨重塑与再生重点实验室 吉林 长春 130021
  • 收稿日期:2020-05-26 出版日期:2020-11-28 发布日期:2020-11-27
  • 通讯作者: *刘炜炜,E-mail:liuweiw@jlu.edu.cn
  • 作者简介:陶博强(1995~ ),男,浙江台州人,硕士在读,研究方向:口腔颌面外科。
  • 基金资助:
    国家自然科学基金(编号:81602377)吉林省发改委(编号:2019C051-5)吉林省财政厅(编号:JCSZ2019378-8)吉林省科技厅(编号:20200801077GH)

Comparative Analysis of Sternocleidomastoid Muscle Flap and Oral Repair Membrane in Postoperative Treatment of Benign Parotid Tumor

TAO Boqiang, LIU Yingkun, LI Yuyang, MIN Fenghe, LIU Huimin,YANG Zhijing, LIU Weiwei*   

  1. Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University; Jilin Provincial Key Laboratory of Tooth Development and Bone Remodeling. Changchun 130021, China
  • Received:2020-05-26 Online:2020-11-28 Published:2020-11-27

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摘要： 目的:比较胸锁乳突肌瓣与口腔修复膜在腮腺手术术后面部凹陷畸形修复和Frey综合征预防上的临床效果。方法:收集80例吉林大学口腔医院颌面外二科进行的腮腺良性肿瘤的患者,随机分为皮瓣组、修复膜组和对照组三组。皮瓣组在腮腺手术的基础上用胸锁乳突肌瓣进行修复;修复膜组在腮腺手术的基础上用口腔修复膜进行修复;对照组在腮腺手术后不做任何处置。术后72 h和术后6个月进行随访,并观察术区面部凹陷畸形、Frey综合征和颈肩膀运动障碍发生的差异。结果:皮瓣组比修复膜组和对照组能更好地恢复术区面部凹陷畸形且具有统计学意义(P<0.05);皮瓣组和修复膜组与对照组相比均能有效预防Frey综合征的发生,且皮瓣组具有更好的预防效果(P<0.05);本实验中皮瓣组均未发生副神经损伤。结论:胸锁乳突肌瓣比口腔修复膜具有更好的恢复腮腺良性肿瘤术后面部凹陷畸形和预防Frey综合征的效果,值得推广和应用。

关键词: 腮腺肿瘤, 胸锁乳突肌, 口腔修复膜, 面部凹陷畸形, Frey综合征

Abstract: Objective: To compare the clinical effects of sternocleidomastoid muscle flap and oral repair membrane in the repair of facial sunken deformities and the prevention of Frey syndrome after parotid surgery. Methods: Eighty patients with benign tumor of parotid gland, which were carried out in the Department of Oral and Maxillofacial Surgery, Hospital of Stomatology, Jilin University were randomly divided into three groups: skin flap group, repair membrane group, and control group. The skin flap group was repaired with sternocleidomastoid muscle flap on the basis of parotid surgery, the repair membrane group was filled with oral repair membrane on the basis of parotid surgery, and the control group received normal parotid surgery without other treatments. The patients were followed up 72 hours and 6 months after operation, and the differences of facial depression deformity, Frey syndrome, and neck-shoulder dyskinesia were observed. Results: The facial depression deformity in the skin flap group was better than those in the repair membrane group and the control group (P<0.05). Compared with the control group, the flap group and the repaired membrane group could effectively prevent the occurrence of Frey syndrome, and the flap group had better preventive effect (P<0.05). In this experiment, there was no accessory nerve injury in the skin flap group. Conclusion: Sternocleidomastoid muscle flap has better repair and preventive effect than oral repair membrane in postoperative parotid benign tumor, which is worth popularizing and applying in clinic.

Key words: parotid gland tumor, sternocleidomastoid muscle, oral repair membrane, facial depression deformity, Frey syndrome