腔镜下耳后发际线径路面神经顺行解剖后腮腺良性肿瘤切除术的临床分析

Endoscopic resection of benign parotid gland tumors after antegrade facial nerve dissection via a retroauricular hairline incision

摘要:

目的 探讨腔镜辅助下耳后发际线径路面神经顺行解剖后腮腺肿瘤切除手术的临床效果。方法 选择2022年7月—2022年9月诊治的3例腮腺肿瘤位于浅叶并且直径小于3cm患者，采用发际线径路，在全腔镜下顺行解剖面神经后，行腮腺肿瘤和部分浅叶切除治疗。结果 3例患者均顺利完成手术，均无术后出血、涎瘘及面瘫，收到良好的美容效果。结论 腔镜下耳后发际线径路面神经顺行解剖后腮腺良性肿物切除术是一种安全可行、有良好美容效果的手术方式。

Abstract:

Objective To explore the clinical outcomes of endoscopic resection of benign parotid gland tumors after antegrade facial nerve dissection via a retroauricular hairline incision.Methods A retrospective analysis was performed on 3 patients with parotid gland tumors (<3 cm in diameter) located in the superficial lobe, who were treated with endoscopic resection of the tumor and partial superficial lobe after antegrade facial nerve dissection via a retroauricular hairline incision from July 2022 to September 2022.Results Endoscopic resection was successfully performed in all cases with optimal cosmetic outcomes. Postoperative complications, such as hemorrhage, salivary fistulas and facioplegia, were not reported.Conclusion Endoscopic resection of benign parotid gland tumors after antegrade facial nerve dissection via a retroauricular hairline incision is a feasible surgical approach with optimal cosmetic outcomes.