TY - JOUR
T1 - S-shaped Incision versus Facelift Incision for Parotid Surgery
AU - Suzuki, Takahiro
AU - Shoji, Fumi
AU - Noguchi, Naoya
AU - Kakuta, Risako
AU - Ohta, Nobuo
N1 - Publisher Copyright:
© 2019 Society of Practical Otolaryngology. All Rights Reserved.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019
Y1 - 2019
N2 - Background: S-shaped incision (SI), which provides excellent surgical access to the parotid gland, is conventionally used for parotid surgery, but it leaves a visible scar in the neck, producing esthetic problems, especially in young persons. As an alternative, therefore, the facelift incision (FLI), which leaves an inconspicuous neck scar, is often considered. The objective of this study was to compare the tumor characteristics and surgical outcomes between patients who received these two incisions for parotid surgery. Materials and methods: In this retrospective study, we analyzed the data of 69 patients with benign parotid diseases who had undergone parotidectomy at our hospital over the past 1 year 9 months. The FLI was mainly applied for relatively small, benign lesions located in the superficial lobe posteriorly or in the tail of the parotid gland. Result: Of the 69 patients, 55 patients received the SI (SI group) and 14 received the FLI (FLI group). The median tumor size in the SI group was larger than that in the FLI group, with a significant difference between the two groups (35 mm and 22 mm, respectively; P=0.04). The frequency of deep-lobe location was not significantly different between the two groups (SI vs. FLI: 22% vs. 14%; P=0.72). The average operating time by the same surgeon was 134 min in the SI group (n=46) and 139 min in the FLI group (n=14), without significant difference (P=0.73). Postoperative facial nerve palsy was observed in 6 patients (10.9%) in the SI group, but none of the patients in the FLI group. One patient with diabetes mellitus in the FLI group showed postoperative ischemia at the distal end of the flap in the retroauricular region, which left a hypertrophic scar. There were no significant differences in the frequencies of other complications such as salivary leakage or Frey's syndrome between the FLI group and the SI group. Conclusion: Facelift incision is a safe and aesthetically superior approach for benign parotid disease.
AB - Background: S-shaped incision (SI), which provides excellent surgical access to the parotid gland, is conventionally used for parotid surgery, but it leaves a visible scar in the neck, producing esthetic problems, especially in young persons. As an alternative, therefore, the facelift incision (FLI), which leaves an inconspicuous neck scar, is often considered. The objective of this study was to compare the tumor characteristics and surgical outcomes between patients who received these two incisions for parotid surgery. Materials and methods: In this retrospective study, we analyzed the data of 69 patients with benign parotid diseases who had undergone parotidectomy at our hospital over the past 1 year 9 months. The FLI was mainly applied for relatively small, benign lesions located in the superficial lobe posteriorly or in the tail of the parotid gland. Result: Of the 69 patients, 55 patients received the SI (SI group) and 14 received the FLI (FLI group). The median tumor size in the SI group was larger than that in the FLI group, with a significant difference between the two groups (35 mm and 22 mm, respectively; P=0.04). The frequency of deep-lobe location was not significantly different between the two groups (SI vs. FLI: 22% vs. 14%; P=0.72). The average operating time by the same surgeon was 134 min in the SI group (n=46) and 139 min in the FLI group (n=14), without significant difference (P=0.73). Postoperative facial nerve palsy was observed in 6 patients (10.9%) in the SI group, but none of the patients in the FLI group. One patient with diabetes mellitus in the FLI group showed postoperative ischemia at the distal end of the flap in the retroauricular region, which left a hypertrophic scar. There were no significant differences in the frequencies of other complications such as salivary leakage or Frey's syndrome between the FLI group and the SI group. Conclusion: Facelift incision is a safe and aesthetically superior approach for benign parotid disease.
KW - Facelift incision
KW - Parotid surgery
KW - Parotidectomy
KW - S-shaped incision
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U2 - 10.5631/jibirin.112.165
DO - 10.5631/jibirin.112.165
M3 - Article
AN - SCOPUS:85062676139
VL - 112
SP - 165
EP - 171
JO - Practica Oto-Rhino-Laryngologica
JF - Practica Oto-Rhino-Laryngologica
SN - 0032-6313
IS - 3
ER -