Facelift incision and superficial musculoaponeurotic system advancement in parotidectomy: case reports

Abstract

Surgical procedures for parotidectomy had been developed to gain adequate approach, prevent morbidity of nerve, and give esthetic satisfaction.We performed two cases of parotidectomy through facelift incision. One case was reconstructed with superficial musculoaponeurotic system (SMAS) flap and sternocleidomastoid (SCM) muscle rotated flap at the parotid bed. In second case, same procedures were performed, but collagen membrane was additionally implanted for prevention of Frey’s syndrome. After surgery, two cases showed esthetic results without neck scar and hollow defect on parotid bed area.

A shift in the classic management of parotidectomy - the facelift approach

“…We achieved good outcomes regarding both the appearance and function by performing a SMASplasty. Similar results are reported by other authors underlining the multiple benefits of this reconstructive method 2,3,13,14 .…”

“…Additionally, a small quantity of blood remaining under the SMAS flap is considered beneficial for restoring the volume of the region following fibrous changes. The importance of the sub-SMAS hematoma was also outlined by other authors 13,15 . When considered necessary, an associated reconstructive method can be used, utilizing the SMAS flap together with a SCM or digastric muscle flap.…”

Reconstrucción de defectos parotídeos con injertos de tejido graso libre abdominal. Estudio clínico de una sencilla técnica quirúrgica

“…La realización de reconstrucción primaria de los defectos parotídeos mediante diversas técnicas, como el colgajo de ECM, la disección y tracción de un colgajo de SMAS, en muchos casos son suficientes para obtener un resultado estético aceptable cuando la parotidectomía ha sido superficial o parcial. El hundimiento progresivo cuando se utiliza el colgajo de SMAS por su adaptación al defecto anatómico o la atrofia muscular del ECM cuando ha perdido su inervación hacen que se genere una asimetría facial leve en el paciente, que en muchos casos es evidente 13,14 .…”

“…La deformidad o hundimiento de la región parotídea ha sido objeto de numerosos trabajos con muy diversas técnicas: colgajo de músculo esternocleidomastoideo (ECM) [9][10][11] , colgajo del sistema músculo aponeurótico superficial (SMAS) [12][13][14][15] , matrices dérmicas acelulares (Alloderm TM , Dermamatrix TM ) [16][17][18][19] , platisma, entre otros con distintos resultados a largo plazo.…”

Reconstruction of partial maxillectomy defect with a buccal fat pad flap and application of 4-hexylresorcinol: a case report

“…If MEC occurs in the parotid gland, a parotidectomy is performed, and the facial nerve will be excised413. MEC of the minor salivary gland in the hard palate is treated with wide local resection3.…”