Comparison of the effects of two types of SMAS reservations on tumor recurrence and Frey’s syndrome prevention after parotidectomy

YU Xiu-li; YANG Kai; ZHANG Fu-Jun; LV Xiao-qiang

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Comparison of the effects of two types of SMAS reservations on tumor recurrence and Frey’s syndrome prevention after parotidectomy

更新时间：2024-01-17

- Comparison of the effects of two types of SMAS reservations on tumor recurrence and Frey’s syndrome prevention after parotidectomy
- Journal of Chongqing Medical University Vol. 36, Issue 10, Pages: 1259-1261(2011)
- 作者机构：
  
  重庆医科大学附属第一医院口腔颌面外科
- 作者简介：
- 基金信息：
- DOI：
  CLC： R739.87
- Published：2011，
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[1]喻秀丽,杨凯,张福军,吕晓强.两种保留SMAS术式对腮腺肿瘤术后复发和预防Frey综合征的对比研究[J].重庆医科大学学报,2011,36(10):1259-1261.

YU Xiu-li, YANG Kai, ZHANG Fu-Jun, et al. Comparison of the effects of two types of SMAS reservations on tumor recurrence and Frey’s syndrome prevention after parotidectomy. [J]. Journal of Chongqing Medical University 36(10):1259-1261(2011)
[1]喻秀丽,杨凯,张福军,吕晓强.两种保留SMAS术式对腮腺肿瘤术后复发和预防Frey综合征的对比研究[J].重庆医科大学学报,2011,36(10):1259-1261. DOI：

YU Xiu-li, YANG Kai, ZHANG Fu-Jun, et al. Comparison of the effects of two types of SMAS reservations on tumor recurrence and Frey’s syndrome prevention after parotidectomy. [J]. Journal of Chongqing Medical University 36(10):1259-1261(2011) DOI：

摘要

目的:评价在腮腺肿瘤切除术中两种保留面部表浅肌肉腱膜系统（Superficial musculoaponeurotic system

SMAS）术式对味觉出汗综合征的预防效果和对腮腺肿瘤术后复发的影响。方法:125例良性腮腺肿瘤患者随机分为3组。Ⅰ组（游离保留SMAS法）39例

Ⅱ组（非游离保留SMAS法）46例

Ⅲ组（按传统手术方法未保留SMAS）40例。术后6～12个月

所有患者均通过调查问卷形式和碘-淀粉试验对味觉出汗综合征分别进行主观评价和客观评价。所有患者均完成了术后2～3年对肿瘤复发情况的随访。结果:Ⅰ、Ⅱ组和Ⅲ组味觉出汗综合征的主观评价发生率分别为5.1%（2/39）、26.1%（12/46）和55.0%（22/40）（P<0.05）;客观评价发生率分别为10.3%（4/39）、37.0%（17/46）和72.5%（29/40）（P<0.05）。术后经2～3年的随访

3组患者共125例均无复发病例。结论:保留SMAS是预防腮腺肿瘤术后发生味觉出汗综合征的有效方法

但游离保留SMAS法疗效更佳。保留SMAS不会增加良性腮腺肿瘤的复发。

Abstract

Objective:To evaluate the effects of two types of superficial musculoaponeurotic system(SMAS) reservations on the prevention of Frey’s syndrome and tumor recurrence after parotidectomy.Methods:125 patients suffering from benign tumors of parotid gland were divided randomly into three groups(Ⅰ～Ⅲ groups):groupⅠ:Parotidectomy with free SMAS reservation in 39 cases;groupsⅡ:Parotidectomy with non-free SMAS reservation in 46 cases;groups Ⅲ:Parotidectomy without SMAS reservation in 40 cases.After operation 6 to 12 months

all the 125 patients were evaluated for gustatory sweating by both questionnaire and minor starch-iodine test.All the patients were followed up for tumor recurrence after operation 2 to 3 years.Results:Subjective evaluation of Frey’s syndrome revealed that the incidence rates of Ⅰgroup

Ⅱgroup and Ⅲ group were 5.1%(2/39)

26.1%(12/46) and 55.0%(22/40) respectively(P<0.05).Objective evaluation of Frey’s syndrome revealed that the incidence rates of Ⅰgroup

Ⅱgroup and Ⅲ group were 10.3%(4/39)

37.0%(17/46) and 72.5%(29/40) respectively(P<0.05).There was not tumor recurrence case in all 125 patients.Conclusion:Reservation of SMAS is an effective method for prevention of Frey’s syndrome after parotidectomy.The incidence rate of free SMAS reservation is lower than that of non-free SMAS reservation.Reservation of SMAS does not increase recurrence rate of benign parotid tumor.

关键词

腮腺肿瘤味觉出汗综合征手术表浅肌肉腱膜系统复发

Keywords

parotidtumorFrey’s syndromeoperationsuperficial musculoaponeurotic systemrecurrence

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Related Institution

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