Endoscope‐Assisted Resection of Benign Parotid Tumors via Concealed Post‐Auricular Sulcus Incision

Abstract

ObjectivesTo investigate the feasibility, safety, and effectiveness of endoscopic‐assisted resection of benign parotid tumors via concealed post‐auricular sulcus incision.MethodsBetween October 2019 and March 2021, eligible patients with diagnosed benign parotid tumors were prospectively included and randomly assigned to two groups: the endoscope‐assisted post‐auricular sulcus incision group (endoscope group) and the conventional Blair “S” incision group (conventional group).ResultsA total of 45 patients were finally included, including 24 subjects in the endoscope group and 21 subjects in the conventional group. No obvious differences were observed in basic information between these two groups of patients. The surgical incision length in endoscope group patients was 4.0 ± 0.4 cm, which was significantly shorter than that in conventional group patients, 10.3 ± 1.6 cm (p < 0.001). The total intraoperative blood loss, the first post‐operative day drainage volume, the total post‐operative drainage volume, and the total drainage days were all significantly lower in endoscope group patients than in conventional group patients (all p < 0.05). Among 3 months follow‐ups, no local recurrence or residual tumor were found in both groups of patients, and there were none of them had permanent facial paralysis or parotid fistula. The self‐evaluated appearance satisfaction VAS scores of endoscope group patients were all 0, which was significantly lower than that of conventional group patients, 4.7 ± 1.6 (p < 0.001).ConclusionCompared with the conventional Blair “S” incision surgery, the endoscope‐assisted resection of the benign parotid tumors via concealed post‐auricular sulcus incision was safe and effective and showed advantages of faster recovery and better self‐assessments of appearance satisfaction.Level of Evidence2 Laryngoscope, 133:133–138, 2023

Modified V-shaped concealed incision versus S-shaped incision in the treatment of benign parotid tumors: a case-control study

“…To reduce complications and visible scars, parotid gland surgery has moved to functional operations (5)(6)(7). Moreover, endoscopic parotidectomy has become a reliable procedure for benign and low-grade malignant parotid gland tumors by providing several advantages (8)(9)(10)(11)(12).…”

Factors of perioperative depressive and anxiety symptoms in patients with parotid gland tumor and its influence on postoperative complication and quality of life: a cohort study

“…In view of the surgical effect and postoperative aesthetics, it is necessary to explore the balance between the two and develop as far as possible Surgery is the main treatment method for PGT (5). In recent years, as a new surgical method, endoscopy-assisted resection of benign parotid tumors not only provides sufficient surgical field of view, but also has the advantages of highly aesthetic incision, rapid postoperative recovery and few complications (6). In addition to the surgical resection of malignant tumors, fast neutron radiation is often used in radiation therapy, which is now ranked as the first choice for the radiotherapy of salivary gland malignancies (7).…”