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目的探讨胸锁乳突肌肌瓣即刻修复腮腺肿瘤术后面部凹陷畸形和减少术后味觉出汗综合征(Frey综合征)发生的临床效果。方法选择2009年1月至2011年1月我院口腔颌面外科腮腺肿瘤住院手术患者52例,分为试验组28例、对照组24例。试验组患者按常规“S”切口施行腮腺肿瘤加腮腺浅叶或全叶切除术,同期行胸锁乳突肌肌瓣转移修复术;对照组则不行同期肌瓣修复,经随访对比观察6月～3年。结果常规手术组患者均有不同程度的面部凹陷畸形,味觉出汗综合征的发生率为54.12%,胸锁乳突肌瓣转移修复术组面部凹陷畸形均不明显,味觉出汗综合征的发生率为10.71%,两组间差异有统计学意义。结论胸锁乳突肌瓣转移修复术能明显改善腮腺肿瘤术后面部畸形,有效降低味觉出汗综合征发生率。
Objective To investigate the clinical effect of sternocleidomastoid muscle flap for immediate repair of facial deformity in parotid tumors and reduction of postoperative taste-sweat syndrome (Frey syndrome). Methods From January 2009 to January 2011, 52 patients with oral and maxillofacial parotid gland tumor in our hospital were divided into experimental group (28 cases) and control group (24 cases). The patients in the experimental group underwent routine parotidectomy with parotid gland tumor plus parotid gland lobectomy or total lobectomy underwent routine sternotomy. The control group received no repair of muscle flap during the same period, June ~ 3 years. Results The patients in the conventional operation group had different degrees of facial deformity, the rate of taste sweating syndrome was 54.12%, the facial deformity of the sternocleidomastoid flap transfer repair group was not obvious, and the occurrence of taste sweating syndrome The rate was 10.71%, the difference between the two groups was statistically significant. Conclusion The sternocleidomastoid flap transfer repair can significantly improve facial deformity of parotid gland tumor and effectively reduce the incidence of taste sweat syndrome.