内镜辅助下切除腮腺良性肿瘤微创切口的研究进展
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曹雪(1996.4-),女,甘肃酒泉人,硕士,主要从事颌面部肿瘤数字化精准微创治疗方面工作

通讯作者:

凌彬(1981.7-),男,新疆乌鲁木齐人,博士,教授,主任医师,主要从事口腔颌面各类恶性肿瘤、颞颌关节疾病综合治疗、颌面部微创内镜治疗、数字化精准治疗等方面工作

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R739.8

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Research Progress on Minimally Invasive Incisions for Endoscope-assisted Resection of Benign Parotid Tumors
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    摘要:

    手术切除是腮腺良性肿瘤的主要治疗方式。改良“S”形Blair切口因术区暴露充分、便于操作而在临床上广泛应用,但术后易遗留明显的面颈部瘢痕;且术中需广泛解剖,术后暂时性面瘫、耳周麻木及Frey综合征等并发症发生风险较高。随着患者对面部美观需求的不断提高及微创外科技术的发展,腮腺良性肿瘤切除术的手术入路设计得到持续探索与优化,内镜辅助下各类微创切口在提升美容效果、减少并发症、提高患者满意度等方面优势明确。本文就内镜辅助下切除腮腺良性肿瘤的微创切口类型、临床特点及应用优劣进行系统综述,以期为临床术式选择提供一定参考。

    Abstract:

    Surgical resection is the main treatment for benign parotid tumors. The modiffed "S"-shaped Blair incision is widely used in clinical practice due to sufficient exposure of the surgical field and ease of operation, but it is prone to leaving obvious facial and cervical scars after surgery. In addition, extensive dissection is required during the operation, leading to a higher risk of complications such as temporary facial paralysis, periauricular numbness and Frey syndrome. With the continuous improvement of patients' demands for facial aesthetics and the development of minimally invasive surgical technology, the design of surgical approaches for benign parotid tumor resection has been continuously explored and optimized. Various endoscope-assisted minimally invasive incisions have obvious advantages in improving aesthetic effect, reducing complications and enhancing patient satisfaction. This paper systematically reviews the types, clinical characteristics, advantages and disadvantages of minimally invasive incisions for endoscope-assisted resection of benign parotid tumors, aiming to provide a certain reference for clinical surgical approach selection.

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曹 雪 ,田 笑 ,王 婕 ,等.内镜辅助下切除腮腺良性肿瘤微创切口的研究进展[J].医学美学美容,2026,35(3):182-185.

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  • 在线发布日期: 2026-03-11
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