关键词: Auriculotemporal nerve syndrome Extracapsular dissection Frey syndrome Parotid tumor SMAS flap

Mesh : Humans Parotid Neoplasms / surgery pathology Female Male Retrospective Studies Surgical Flaps Middle Aged Adult Patient Satisfaction Aged Treatment Outcome Superficial Musculoaponeurotic System / surgery Dissection / methods Sweating, Gustatory / etiology Young Adult Esthetics

来  源:   DOI:10.1016/j.bjorl.2024.101462   PDF(Pubmed)

Abstract:
OBJECTIVE: The aim of this retrospective article is to evaluate postoperative outcomes after extracapsular dissection for small benign superficial parotid neoplasms (<3 cm) in patients who received Superficial Musculoaponeurotic System (SMAS) flap and in patients who did not receive it.
METHODS: Two groups were created and statistically compared regarding Frey\'s syndrome and aesthetic satisfaction by data collected through the POI-8 validated questionnaire and through an aesthetic satisfaction scale ranging from 1 to 10. The difference between these two groups was the utilization of SMAS flap. SMAS flap was harvested in one of these two group, meanwhile was not used in the other.
RESULTS: The p-value analysis between group 1 and group 2 on these complications, resulted statistically not significant. Also, the aesthetic satisfaction resulted not statistically significant between group 1 and group 2. Gender, localization, and facial palsy resulted statistically correlated with the aesthetic satisfaction (p-value < 0.05).
CONCLUSIONS: In conclusion, there is no statistical difference in the use of SMAS flap for benign parotid neoformations of the superficial lobe, with a diameter of less than 3 cm for which extracapsular dissection is adopted as a surgical technique.
METHODS:
摘要:
目的:这篇回顾性文章的目的是评估接受浅表肌神经系统(SMAS)皮瓣的患者和未接受该皮瓣的患者,腮腺小型良性浅表肿瘤(<3cm)的囊外解剖术后结果。
方法:通过POI-8验证问卷和1至10范围内的美学满意度量表收集的数据,创建两组,并对Frey综合征和美学满意度进行统计学比较。两组之间的差异是SMAS皮瓣的利用率。在这两组中的一组中收获SMAS皮瓣,同时没有在其他使用。
结果:第1组和第2组之间关于这些并发症的p值分析,结果统计学上不显著。此外,第1组和第2组的美学满意度无统计学意义.性别,本地化,面神经麻痹与审美满意度有统计学相关性(p值<0.05)。
结论:结论:使用SMAS皮瓣治疗浅叶腮腺良性病变没有统计学差异,直径小于3厘米,采用囊外夹层作为手术技术。
方法:
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