组织工程与重建外科杂志

组织工程与重建外科杂志 ›› 2014, Vol. 10 ›› Issue (4): 215-217.doi: 10.3969/j.issn.1673-0364.2014.04.012

• 论著 • 上一篇    下一篇

腮腺及面神经急性损伤的急诊治疗体会

郝冬月，刘超华，何林，孙峰，宋保强，夏文森   

  1. 第四军医大学西京医院整形外科
  • 发布日期:2020-07-23

Treatment Experience for Acute Injuries of Parotid Gland and Facial Nerve

HAO Dongyue,LIU Chaohua,HE lin,SUN feng,SONG Baoqiang,XIA Wensen   

  1. Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University;
  • Published:2020-07-23

摘要： 目的探讨腮腺及面神经急性损伤的诊断和治疗。方法 2012年6月至2013年6月,对21例腮腺及面神经急性损伤患者进行急诊处理。充分术前准备后,针对腮腺、腮腺导管、面神经主干及各分支损伤,采取不同判断方法,即时行破裂修补及吻合术。术后随访并统计疗效。结果 93%腮腺破裂及导管断裂的患者完全治愈,7%患者出现腮腺漏,经换药、抑制腺体分泌药物和加压包扎等治疗后康复;66%面神经吻合的患者基本恢复,24%的患者部分恢复,10%的患者未恢复。结论应对腮腺及面神经急性创伤进行严格检查,并对腮腺及面神经急性损伤进行及时诊断和治疗。

关键词: 腮腺, 腮腺导管, 面神经, 损伤

Abstract: Objective To explore the diagnosis and treatment for acute injuries of parotid and facial nerve. Methods From June 2012 to June 2013, 21 cases with parotid and facial nerve injury were performed actively emergency treatment. After sufficient preoperative preparation, the parotid gland and facial nerves were actively treated. Injury in parotid gland, parotid duct, or facial nerve were differently treated. Parotid gland ruptures were repaired instantly, and the parotid duct and facial nerve were anastomosed instantly. Results 93% of the patients with parotid gland and parotid duct injury were completely healed, while the other 7% cases had parotid gland fistula. All of the 7% patients were cured after giving anticholinergics and pressure dressing. 66% of the patients with facial nerve injury were completely cured, the other 24%cases were partly cured, and remained 10% cases were not cured. Conclusion Strict examination should be given to the patients with acute injuries of parotid gland and facial nerve, then the diagnosis and treatment could be given instantly.

Key words: Parotid gland, Parotid duct, Facial nerve, Injury

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