Objective. To analyze the clinical intervention effect of transoral endoscopic thyroidectomy on the neck and face during perioperative period. Method. From January 2019 to January 2020, 60 patients included in this study were randomly divided into observation group and control group according to the ratio of 1 : 1, with 30 cases in each group. Both groups underwent rapid surgical intervention during the perioperative period. The patients in the observation group received neck and face management. The degree of jaw swelling, the degree of facial microexpression completion, and the changes in jaw and neck sensation were compared between the two groups. Results. There was no significant difference in neck and face swelling, pain, facial microexpression, and feeling between the two groups before operation. Patients with facial I/II swelling degree in the observation group were significantly more than in the control group, and the patients with III swelling degree were less than in the control group. There was significant difference for facial swelling between the two groups in the three intervention periods after the operation, and the difference was statistically significant (). The scores of facial microexpression in the observation group were higher than those in the control group during the three postoperative intervention periods, with statistical significance (). There was no significant difference in the pain score of the first day after surgery between the two groups (). In the other two postoperative intervention periods, the pain score of the observation group was lower than that of the control group, with a statistically significant difference, and the difference was statistically significant (). The threshold of chin and neck sensory pressure in the two groups was statistically significant () except that the “cheek in area 4” (). Conclusion. The results showed that these interventions, such as the elevation of bed after operation, 24-hour intermittent cryotherapy, ice cubes in mouth, and the “meter” functional training, have good clinical effects on the symptoms of facial swelling and abnormal sensation of neck and face. It can accelerate the speed of edema dissipation, improve the patients’ postoperative comfort, and improve the satisfaction and quality of life of patients with the effect of surgery and beauty.

中文翻译：

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经口内镜甲状腺切除术围手术期颈面部水肿及感觉异常患者的处理

客观的。分析经口内镜甲状腺切除术围手术期对颈面部的临床干预效果。方法。2019年1月至2020年1月，本研究纳入60例患者，按照1:1的比例随机分为观察组和对照组，每组30例。两组患者均在围手术期接受快速手术干预。观察组患者接受颈面部管理。比较两组下颌肿胀程度、面部微表情完成程度以及下颌和颈部感觉的变化。结果。两组术前颈面部肿胀、疼痛、面部微表情、感觉等情况均无显着差异。观察组面部I/II肿胀程度患者明显多于对照组,III肿胀程度患者明显少于对照组。术后3个干预期两组面部肿胀情况差异有统计学意义（）。观察组术后3个干预期面部微表情评分均高于对照组，差异有统计学意义（）。两组术后第一天疼痛评分无显着差异（）。另外两个术后干预期，观察组疼痛评分低于对照组，差异有统计学意义（）。两组下巴和颈部感觉压力阈值有统计学意义（）除了“区域 4 中的脸颊”（）。 结论。结果显示，术后抬高床位、24小时间歇冷冻、含冰块、“米”功能训练等干预措施对面部肿胀、颈部感觉异常等症状有良好的临床效果。和脸。可以加快水肿消散的速度，提高患者术后的舒适度，以手术美容的效果提高患者的满意度和生活质量。