摘要
目的 探讨经口腔入路内镜下颌下腺切除术的可行性、手术安全性及面颈部美容效果。方法 经鼻插管全身麻醉下对9例颌下腺病损的病人，经口腔入路内镜辅助下，解剖分离与颌下腺相关的神经与血管，完整切除颌下腺病损。所有病例均术前经影像学评估。结果 9例患者颌下腺均经口顺利切除，无一例术中转颌下切口。口内切口愈合良好，面颈部对称，无瘢痕形成，术后3个月未见明显舌神经、舌下神经及面神经下颌缘支损伤等并发症。结论 经口腔入路内镜下颌下腺切除术，颈部无瘢痕，无面神经损伤，获得了极佳的美容效果，在其适应症范围内值得临床推广。
关键词： 经口腔入路；内镜；颌下腺
Abstract
Objective: To explore the feasibility, surgical safety and cosmetic effect of Endoscopic Excision of the submandibular Gland by an intraoral Approach. Methods: For 9 patients with submandibular glanddiseases under general anesthesia by nasal intubation, submandibular glands were removed after the nerves and vessels related to the submandibular glands were dissected carefully . All cases were evaluated by imaging. Results: The submandibular glands of 9 patients were removed successfully by intraoral approach. The intraoral incision healed well , the face and neck were symmetrical, and there was no scarring formation. There were no obvious complications such as lingual nerve, sublingual nerve and facial nerve mandible border branches at 3 months after surgery. Conclusion s: Endoscopic Excision of the submandibular Gland by an intraoral Approachwith no neck scar and no facial nerve damage has achieved excellent cosmetic results and deserves clinical promotion within its indications.
Key words： Intraoral Approach; Endoscopic; Submandibular gland
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