神经移植重建面神经在腮腺癌根治术中的应用

目的：探讨腮腺深叶癌切除面神经后，即刻功能性修复的临床效果。方法：对1984年1月至2005年10月间收治的11例腮腺癌患者，术中采用将肿瘤连同腮腺及面神经切除，同时行颈丛神经移植重建面神经的治疗方法。结果：术后面神经功能均完全恢复，所有患者术后6个月复诊，见患者静态时面部对称，动态时口角轻度偏斜，术后一年两侧面部完全对称，睁、闭眼及提口角功能基本恢复正常。结论：腮腺癌根治术中采用颈丛神经移植能有效地恢复面神经的功能，既达到肿瘤切除的彻底性，又符合功能外科的发展要求，是一种比较理想的手术方法。

Application of cervical plexus nerves for recovery of facial nerve after operation of parotid carcinoma

Objective To study the clinical effect of recovery method of facial nerve function shortly after operation of parotid carcinoma.Methods Undergoing radical parotidectomy(including parotid,tumor and facial nerve) with interposition nerve grafts for facial nerve reconstruction to 11 patients between Jun,1984 to Oct,2005.Results All nerve function were harvested after surgery.All paitents's recovery is good.Their countenance is symmetry at rest and low-grade decline while palying after 6 month.All patients achieved a complete symmetry and got to facilitate eye closure and mouth lift 1 years after surgery.Conclusion Radical parotidectomy with interposition nerve grafts for facial nerve reconstruction can do a good effect of recovery of facial nerve function.It can not only resect tumor completely,but also fit for development of functional surgery.It is an ideal method for surgery operation.