医学
外科
面神经
腮腺切除术
解剖(医学)
疤痕
围手术期
内窥镜
内窥镜检查
腮腺
牙科
作者
Sin-Daw Lin,Chih-Cheng Tsai,Chung-Sheng Lai,Su-Shin Lee,Kao-Ping Chang
出处
期刊:Annals of Plastic Surgery
[Ovid Technologies (Wolters Kluwer)]
日期:2000-09-01
卷期号:45 (3): 269-273
被引量:32
标识
DOI:10.1097/00000637-200045030-00008
摘要
Sixteen cases of parotidectomy of benign tumors were performed by means of a short incision with the assistance of endoscopic surgery. The average length of the preauricular and retromandibular incision was 6.9 cm (range, 6.0-8.1 cm). This incision provided safe dissection of the facial nerve trunk and exposed a major part of the gland to direct vision. Identification and separation of the facial nerve branches in peripheral glandular tissue was performed by means of endoscopic surgery instead of wide exposure with a long incision. Because endoscopic surgery provided good illumination and magnification on the monitor, the operation could proceed clearly and sharply in a bloodless field. Therefore, the incidence of facial nerve injury and perioperative morbidity was minimized. In this series, tumors were removed completely, without injury to the facial nerve. Patients were also satisfied with the short and inconspicuous postoperative scars.
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