CAJ | 학술논문

目的：探讨腮腺手术中同期行胸锁乳突肌瓣转移术修复面部凹陷畸形的效果，及其对味觉出汗综合征（Frey综合征）预防作用。方法：对29例腮腺肿瘤病人行肿瘤加腮腺深叶或全叶切除术，其中18例同期行蒂在上的胸锁乳突肌瓣转移修复术为研究组；剩余11例，只行腮腺肿瘤切除术为对照组。术后随访观察治疗结果。结果：两组术后切口均I期愈合。经过12～18个月随访，研究组侧面外形良好，颈部外形及功能正常，未出现Frey综合征。对照组，面部外形较差，5例出现Frey综合征。结论：胸锁乳突肌瓣转移术能明显改善腮腺肿瘤术后面侧部畸形，同时能有效降低味觉出汗综合征发生率。
목적：탐토시선수술중동기행흉쇄유돌기판전이술수복면부요함기형적효과，급기대미각출한종합정（Frey종합정）예방작용。방법：대29례시선종류병인행종류가시선심협혹전협절제술，기중18례동기행체재상적흉쇄유돌기판전이수복술위연구조；잉여11례，지행시선종류절제술위대조조。술후수방관찰치료결과。결과：량조술후절구균I기유합。경과12～18개월수방，연구조측면외형량호，경부외형급공능정상，미출현Frey종합정。대조조，면부외형교차，5례출현Frey종합정。결론：흉쇄유돌기판전이술능명현개선시선종류술후면측부기형，동시능유효강저미각출한종합정발생솔。
Objective: To review whether the sternocleidomastoid muscle flap reconstruction was appropriate to prevent the incidence of Frey syndrome and facial contour deformity after parotidectomy. Methods:29 cases undergone parotdec-tomy were involed in this study. 18 patients were randomly undergone reconstruction of the surgical defect with a stern-ocleidomastoid muscle flap after parotidectomy;the other 11patients did not receive a flap. After 6-12 months, all patients were evaluated via a short questionnaire, the starch-iodine test, and a visual examination. Results: In muscle flap restoration group, non of the 18 patients experienced abnormal facial contour deformity, and none of them were sweating, flushing or warmth while eating. In non-flap group, 5 patients showed a mild positive starch-iodine test, and all 11 patients manifested facial contour deformity. The difference was significant. Conclusion: Sternocleidomastoid muscle flaps are effi-cient for preventing Frey syndrome and facial contour deformity following parotidectomy.