Modified facelift incision for parotidectomy

Terris, David J.; Tuffo, Katherine M.; Fee, Willard E.

doi:10.1017/s002221510012746x

Cited by 128 publications

(129 citation statements)

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“…Alternatively, for suspected benign tumours, a more cosmetic modified facelift (rhytidectomy) incision can be considered which leaves no visible neck scar. 2 At the Luton & Dunstable Hospital, parotidectomy is performed by ear nose and throat (ENT) and maxillofacial surgeons. We retrospectively analysed parotidectomies performed by both departments over a 2-year period.…”

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Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison

Wasson

Karim

Yeo

et al. 2010

annals

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Ann R Coll Surg Engl 2010; 92: 40-43 40Indications for parotidectomy include benign and malignant tumours as well as inflammatory conditions of the parotid gland.1 Traditionally, the cervicomastoidfacial incision (alternatively known as the modified Blair incision) is used for surgery of the parotid gland which offers excellent surgical access to the parotid gland, but leaves a visible scar in the neck. Alternatively, for suspected benign tumours, a more cosmetic modified facelift (rhytidectomy) incision can be considered which leaves no visible neck scar.2 At the Luton & Dunstable Hospital, parotidectomy is performed by ear nose and throat (ENT) and maxillofacial surgeons. We retrospectively analysed parotidectomies performed by both departments over a 2-year period. The aim of this study was to establish the frequency of each surgical approach used and to identify any difference in complication and patient satisfaction of the operative scar between the two incisions. Patients and MethodsA retrospective analysis of case notes for patients who underwent parotidectomy by both ENT and maxillofacial departments between January 2006 and February 2008 was undertaken. All operations were either performed or supervised by a consultant. Only benign indications for parotidectomy were considered for this study; thus, histologically confirmed cases of malignancy were excluded. The numbers of patients who underwent parotidectomy via a cervicomastoidfacial and modified facelift incision were counted. For each incision, details regarding immediate postoperative facial nerve weakness and wound haematoma were obtained from the notes. A patient-outcome evaluation questionnaire was posted to all included patients at least 6 months following their parotid surgery. Information regarding facial paraesthesia and gustatory sweating was sought, The rhytidectomy or modified facelift (MF) incision allows an alternative approach which leaves no visible neck scar. The objective of this study was to establish the frequency of each surgical approach used and identify any difference in complication and patient satisfaction between the two incisions for benign conditions of the parotid gland. PATIENTS AND METHODS A retrospective analysis of 101 case notes for patients who underwent parotidectomy by both ENT and maxillofacial departments between January 2006 and February 2008 was undertaken. All histologically confirmed cases of malignancy were excluded. For each incision, immediate postoperative complications were obtained from the notes. A postal patient outcome evaluation questionnaire sought information regarding persistent and late complications as well as a visual analogue scar satisfaction score for both incisions. RESULTS Overall, 79 parotidectomies were included (59 CMF incisions, 20 MF incisions). Of CMF incisions, 34% suffered facial weakness immediately postoperatively versus 20% of MF incisions. Of CMF incisions, 4% suffered postoperative haematomas versus none following MF incisions. In the study cohort, 47 (60%) responded to the ...

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confidence: 99%

Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison

Wasson

Karim

Yeo

et al. 2010

annals

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“…Therefore, a facelift incision for parotidectomy has been frequently performed for female and pediatric patients especially. The cosmetic results are significantly superior to those of the traditional S-curve incision although the facelift incision approach may not be for known malignant tumors invading to parapharyngeal space and recurrent tumors [14].…”

Section: Discussionmentioning

confidence: 96%

Pediatric Warthin Tumor of Parotid Gland

Aoki¹

2014

Int J Clin Pediatr

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The benign neoplasms of parotid glands in children are mostly pleomorphic adenoma and Warthin tumor is extremely rare. The differential diagnosis of Warthin tumor from mucoepidermoid carcinoma in pediatric cases before the surgery is often difficult and it is not easy to determine the surgical design. We reported an 8-yearold girl with Warthin tumor in left parotid gland. The magnetic resonance imaging (MRI) of the mass revealed comparatively lower value of the apparent diffusion coefficient value, which suspected the Warthin tumor. She therefore underwent superficial parotidectomy via modified facelift incision. She has never suffered from facial palsy and Frey syndrome for 2 years after the surgery and the cosmetic result was satisfactory. It suggests that precise preoperative diagnosis is important because the surgery for pediatric cases with parotid gland neoplasm should be designed to remove the tumor completely with an adequate margin.

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“…The incision is periauricular procedures established and widely used in plastic surgery to facial aesthetics, but have not found this approach to parotidectomias 1,8,10 . According to this prospective study, the incision periauricular offers surgical field with proper exposure, even to make up total parotidectomy and to treat larger tumors, with good results and without additional risk of complications.…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, the problems that occurred in this series are common after parotidectomy and do not require special care. They are transient and self limiting, with functional and aesthetic restoration of the face in a few months 1,2,4,5,8,10,11,13 .…”

Section: Discussionmentioning

confidence: 99%

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Incisão periauricular para operações da glândula parótida

Petroianu

2010

ABCD, arq. bras. cir. dig.

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-Background -The most common incisions for parotidectomy consist of opening or pre periauricular extended to the submandibular or cervical region. They can accompany themselves ragged scars, causing local skin deformities. Aim -The purpose of this study was to evaluate the treatment of parotid surgical diseases using periauricular incision. Method -Thirty nine patients with parotid tumors were reviewed. Pleomorphic adenoma (20 cases) was the most common disease followed by other benign tumors (9 cases), carcinoma (5 cases), parotid cyst (3 cases) and chronic parotiditis (2 cases). All parotidectomies were performed through a periauricular incision. Results -The parotid tumors were removed in all cases without complementary skin approach. The incisions had good aesthetic result and almost imperceptible scars were verified after six months. The patients were very satisfied with the appearance of the operative scar. All patients complained hypostesia of the operative area during a period not longer than six months. Temporary postoperative facial weakness occurred after 28 operations and was permanent in three of patients operated on for carcinoma. Transitory ear discomfort occurred in 22 patients. Two cases of local infection were recorded. All of these complications have been described previously by other authors using other incisions and are mostly due to removal of the gland. Conclusion -Periauricular incision is a good and highly aesthetic option for surgical approach of the parotid.RESUMO -Racional -As incisões mais comuns para parotidectomia consistem em abertura pré ou periauricular prolongadas para a região submandibular ou cervical. Elas podem acompanhar-se de cicatrizes imperfeitas, provocando deformidades cutâneas locais. Objetivo -Avaliar o tratamento de afecções cirúrgicas parotídeas através de incisão periauricular apenas. Método -Foram estudados 39 pacientes consecutivos com moléstias da parótida. Adenoma pleomórfico (20 casos) foi a afecção mais encontrada, seguida por outros tumores benignos (9 casos), carcinomas (5 casos), cisto parotídeo (3 casos) e parotidite crônica (2 casos). Todas as parotidectomias foram realizadas através de incisão periauricular. Em presença de carcinoma, a linfadenectomia cervical foi conduzida por meio de incisão cervical transversa suprahióidea homolateral. Resultado -A remoção da afecção parotídea foi possível em todos os casos sem incisão cutânea complementar. Todas as cicatrizes tiveram bom resultado estético e, após seis meses, elas estavam quase imperceptíveis. Os pacientes revelaram satisfação com o resultado da operação. Fraqueza facial temporária ocorreu em 28 operações. Desconforto auricular transitório foi registrado em 22 pacientes. Todos tiveram hipoestesia da região operada, que perdurou por até seis meses. As complicações encontradas neste trabalho estão descritas na literatura como esperadas em parotidectomia, independentemente do tipo de incisão. Conclusão -A incisão periauricular é opção boa e estética para abordagem cirúrgica da glândula parót...

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Modified facelift incision for parotidectomy

Cited by 128 publications

References 8 publications

Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison

Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison

Pediatric Warthin Tumor of Parotid Gland

Incisão periauricular para operações da glândula parótida

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