journal1 ›› 2016, Vol. 24 ›› Issue (1): 29-32.doi: 10.12016/j.issn.2096-1456.2016.01.006

Special Issue: 11

• Clinical Study • Previous Articles     Next Articles

Clinical observation of sternocleidomastoid muscle flaps combined with artificial biological membrane reparing the defects after parotidectomy

LU Jian-rong, BAN Hua-jie, WANG Dai-you, ZHOU Hui-hui, LONG Ru, QIN Shu-hua   

  1. Department of Stomatology, People’s Hospital of Yizhou City, Yizhou 546300, China
  • Received:2015-10-08 Online:2016-01-20 Published:2016-01-20
  • Contact: WANG Dai-you, Email: wangdaiyou@sina.com, Tel: 0086-771-5358418

Abstract: Objective To investigate therapeutic effects of sternocleidomastoid muscle flaps combined with artificial biological membrane in repairment of facial concave deformity and prevention of taste sweating syndrome after parotidectomy. Methods 68 cases of patients were randomly divided into two groups. The repair group, 36 cases, received the repair of partial sternocleidomastoid muscle flaps combined with artificial biological membrane, while the control group, 32 cases,had normal treatment without repairmen after parotidectomy. The two groups of patients were followed up for 6-18 months. The incidence of facial concave deformity and taste sweating syndrome were statistically compared and analyzed. Neck movements also were tested. Results The incidence rate of facial concave deformity was 8.33% (3/36) in the repair group and 81.25% (26/32) in the control group. Taste sweating syndrome occurred 5.56% (2/36) in the repair group and 62.50% (20/32) in the control group. Both the incidence rates between two groups had the significant difference(χ2=25.10, P<0.05). Neither of each group had dysfunction of neck movement. Conclusion Sternocleidomastoid muscle flap combined with artificial biological membrane repairing the defects of post-parotidectomymay significantly improve facial concave deformity and prevent taste sweating syndrome.

Key words: Parotidectomy, Postoperative defects, Facial concave deformity, Taste sweating syndrome, Artificial biological membrane

CLC Number: 

  • R782.05
[1] 邱蔚六.口腔颌面外科理论和实践[M].北京:人民卫生出版社,1998:760.
[2] Kim JT, Naidu S, Kim YH. The buccal fat:a convenient and effective autologous option to prevent Frey syndrome and for facial contouring following parotidectomy[J]. Plast Reconstr Surg, 2010,125(6):1706-1709.
[3] Gooden EA,Gullane PJ, Irish J, et al. Role of the sternocleidomastoid muscle flap preventing Frey’s syndrome and maintaining facial contour following superficial parotidectomy[J]. J Otolaryngol, 2001,30(2):98-101.
[4] 胡敏.胸锁乳突肌区域组织瓣及其在口腔颌面外科的应用[J].中国实用口腔科杂志,2011,4(12):712-715.
[5] 关华,王斌,刘志刚,等.胸锁乳突肌瓣联合口腔修复膜在腮腺良性肿瘤手术中的应用[J].中国医药科学,2014,4(22):210-212.
[6] Liu DY, Tian XJ, Li C, et al. The sternocleidomastoid muscle flap for the prevention of Frey syndrome and cosmetic deformity following parotidectomy: a systematic review and meta-analysis[J]. Oncol Lett, 2013,5(4):1335-1342.
[7] Dai XM, Liu H, He J, et al. This study was performed to evaluate the effectiveness of overlapping the temporalis fascia flaps (TFFs) and the sternocleidomastoid muscle flaps (SCMFs) as physical barriers to treat established Frey syndrome and concavity after parotidectomy[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2015,119(5):514-521.
[8] De Bree R, Van Der Waal, Leemans CR. Management of Frey syndrome[J]. Head Neck, 2007,29(8):773-778.
[9] Richard M, Graham RM, Andrew J. An unusual cause of Frey syndrome[J]. Br J Oral Maxillfac Surg, 2009,47(2):146-147.
[10] Neumann A, Rosenberger D, Vorsprach O, et al. The incidence of Frey syndrome following parotidectomy:results of a survey and follow-up[J]. HNO, 2011,59(2):173-178.
[11] 韩立显,马新亮,朱守莉,等.胸锁乳突肌瓣联合异体脱细胞真皮基质预防腮腺部分切除术后Frey 综合征的临床观察[J].蚌埠医学院学报,2015,40(3):345-347.
[12] Sanabria A1, Kowalski LP, Bradley PJ, et al. Sternocleidomastoid muscle flap in preventing Frey’s syndrome after parotidectomy: a systematic review[J]. Head Neck, 2012,34(4):589-598.
[13] 罗志军,黎洪棉,王和庚.脱细胞异体真皮基质与人脂肪干细胞的生物相容性[J].中国组织工程研究,2012,25(16):4616-4621.
[14] 朱守莉,马新亮,韩立显,等.胸锁乳突肌瓣联合异种脱细胞真皮基质预防味觉出汗综合征[J].广东牙病防治,2014,22(7):355-358.
[15] Luo W, Zheng X, Chen L, et al. The use of human acellular dermal matrix in the prevention of infra-auricular depressed deformities and Frey’s syndrome following total parotidectomy[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2012,114(2):9-13.
[1] ZHANG Shuguang,YIN Xiteng,XU Wenguang,HAN Wei,LIU Zhe. Clinical analysis of 22 cases of lymphoepithelial carcinoma of parotid gland [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(6): 400-405.
[2] WU Pingfan,CHEN Linlin,CHEN Fen,GUO Lingyan,LI Yu,LEI Zhenge,KE Xing,TAN Weibing. Removal of benign tumor in the lower pole of the parotid gland through concealed incision in the retroauricular sulcus [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2020, 28(12): 781-784.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] ZHU Song-song, HU Jing. The application of distraction osteogenesis in the temporomandibular joint ankylosis and secondary dentofacial deformities[J]. journal1, 2016, 24(1): 6 -10 .
[2] XU Jing. The influence of the impacted mandibular third molar extraction on the distal periodontal tissue of the mandibular second molar[J]. journal1, 2016, 24(1): 11 -14 .
[3] ZHONG Jiang-long, PAN Ji-yang, CHEN Wei-liang. The evaluation of Eagle syndrome treatment by surgery combined with antidepressant therapy[J]. journal1, 2016, 24(1): 26 -28 .
[4] CHEN Xi, SUN Qin-zhou. The study of colorimetric board of porcelain fused to metal restoration for moderate to severe dental fluorosis[J]. journal1, 2016, 24(1): 33 -36 .
[5] OUYANG Ke-xiong1, LIANG Jun, ZOU Rui, LI Zhi-qiang, BAI Zhi-bao, PIAO Zheng-guo, ZHAO Jian-Jiang.. Ion Torrent RNA-Seq detection and analysis of the long non-coding RNA in tongue squamous cell carcinoma[J]. journal1, 2016, 24(1): 15 -19 .
[6] YU Pei, XUE Jing, ZHANG Xiao-wei, ZHENG Cang-shang. The influence of the roughness of zirconia ceramic surface on microbial attachment[J]. journal1, 2016, 24(1): 20 -25 .
[7] LIU Fang. Clinical assessment of two fissure sealant techniques in children’s dental caries prevention[J]. journal1, 2016, 24(1): 44 -45 .
[8] . [J]. journal1, 2016, 24(1): 49 -52 .
[9] LI Bin, HE Xiao-ning, GAO Yuan, HU Yu-ping. Clinical analysis of pain after two kinds of apical stop preparation[J]. journal1, 2016, 24(1): 40 -43 .
[10] Man-wen YE,Wei FANG,Yong SHI,Jie PAN,Shu-guang ZENG. Preparation and characterization of genipin-crosslinked silk fibroin/chitosan sustained release microspheres[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2016, 24(2): 79 -86 .
This work is licensed under a Creative Commons Attribution 3.0 License.