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摘要


許多腮腺疾病都須採用淺葉或全葉切除術(superficial or total parotidectomy)治療,術後下頜骨後區域常會形成一凹陷。傳統上腮腺手術常採用S型或Y型的切線,但常在頸部或引流管出口處留下明顯疤痕,尤其是在年輕女性病患或疤痕特異體質患者,形成莫大困擾。 近年來針對這些缺點,我們利用類似整型手術中皺紋切除術(rhytidectomy)的切線,並將胸鎖乳突肌肌瓣旋轉覆蓋到腮腺切除區上,使病患獲得良好外觀。

並列摘要


The “Y” or “S” incision is commonly used in parotidectomy. Either of these two incisions leaves a significant scar on the neck. In addition, an obvious depression in the retromandibular region almost always results from either superficial or total parotidectomy. These disfiguring sequelae often cause patient’s emotional stress and embarrassment, especially in young female patients or those who tend to suffer keloid. A modified rhytidectomy incision combined with rotating the superiorly based sternocleidomastoid flap upward and forward to cover the surgical defect in parotidectomy was performed at our department in recent 3 years. It has produced more aesthetic appearance. Seven of the eight patients who received this procedure had excellent results. The eighth patient had minor scarring but she was highly satisfied.

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