目的

探讨V 形切口在腮腺区肿物切除术中的临床效果，评价其可行性及优越性。

方法

回顾分析2008 年5 月至2011 年1 月在中山大学孙逸仙纪念医院口腔科就诊的32 例腮腺肿物患者，采用V 形切口切除肿物及部分或全部腺体，观察患者术后并发症。

结果

采用V 形切口切除腮腺肿物及部分或全部腺体的手术时间为0.5 ～1.5 h，术中出血约10 ～80 ml。 32 例患者中仅4 例患者出现暂时性面瘫，均未出现永久性面瘫。 6 例患者术后出现积液或唾液腺瘘，经加压包扎后症状消失。 患者术后切口恢复良好、隐蔽，患者满意度100%。

结论

腮腺区良性肿物切除术中采用V 形切口可行，美观效果好，值得推广。

Objective

To evaluate the effect of V shape incision in parotidectomy.

Methods

A retrospective analysis on 32 patients who underwent excision of the tumor in parotid gland from May 2008 to Jan.2011 was carried out. All patients underwent the operation partial parotidectomy or Superficial parotidectomy with V shape incision. The clinical complication was recorded.

Results

The operation time last from 0.5 to 1.5 h. The blood loss was from 10 to 80 ml.Only 4 patients appeared transient facial nerve dysfunction， and none was permanent facial paralysis. Six patients appeared salivary siltation or salivary fistula. These complications vanished after pressure dressing. The wound healed uneventfully and was larvaceous. All patients had small surgical scar left and were satisfied with the cosmetic effects.

Conclusion

The V shape incision in parotidectomy is feasible and with few complications.