The extended indication of parotidectomy using the modified facelift incision in benign lesions: retrospective analysis of a single institution
- PMID: 21858558
- DOI: 10.1007/s00268-011-1209-1
The extended indication of parotidectomy using the modified facelift incision in benign lesions: retrospective analysis of a single institution
Abstract
Background: Recently, the modified facelift incision (FLI) has gained increasing popularity for its cosmetic benefits in parotidectomy. However, many surgeons remain concerned with the adequacy of the exposure and are unwilling to use the FLI for anterior or superior tumors of the parotid gland because these tumors are closer to the superficially positioned facial nerve branch. To evaluate the changing trends in parotidectomy incisions for benign lesions at a single institute, and to compare the surgical outcomes between the modified Blair incision (BI) and FLI, and determine the adequacy and possible indications or limitations of the FLI, especially for tumors located in the anterior or superior parotid gland.
Materials and methods: Retrospective study analyzed 357 patients who had various benign parotid diseases and underwent parotidectomy at Severance Hospital between January 2005 and December 2009. Revisions or recurrences and histologically confirmed malignancies were excluded. Tumor location was divided into superficial and deep lobes. The superficial lobe was subdivided into anterior, superior, inferior, and middle portions. Patients' profiles, surgical outcomes, and cosmetic satisfaction score on a scale of 0 (extremely dissatisfied) to 10 (extremely satisfied) were compared.
Results: In all, 344 patients underwent BI or FLI. The FLI was performed increasingly each year. For anterior (n = 58) or superior tumors (n = 32), there was no significant difference between the type of incision and tumor size or complications. No facial nerve palsy occurred in either group. For deep-lobe tumors (n = 67), the mean tumor size was significantly larger in the BI group (p = 0.025). There was a significant difference between facial nerve palsy and tumor size (p < 0.001) but no significant difference between facial nerve palsy and tumor location (p = 0.145) or the type of incision (p = 0.530). The mean scar satisfaction score was significantly higher in the FLI group (p <0.001). There was a positive correlation between the scar and deep hollow satisfaction score (Pearson coefficient of correlation = 0.547; p < 0.001)
Conclusions: The modified facelift incision is feasible for most benign parotid lesions regardless of tumor location, even for anterior or superior tumors. Using the modified facelift incision may be extended with a surgeon's accumulated experience, but for a large deep-lobe tumor, the modified Blair incision is still considered useful.
Similar articles
-
Systematic review and meta-analysis of modified facelift incision versus modified Blair incision in parotidectomy.Sci Rep. 2021 Dec 16;11(1):24106. doi: 10.1038/s41598-021-03483-6. Sci Rep. 2021. PMID: 34916561 Free PMC article.
-
Efficacy of modified face lift incision for the resection of benign parotid gland tumor located anteriorly or superiorly.Auris Nasus Larynx. 2021 Oct;48(5):978-982. doi: 10.1016/j.anl.2021.01.014. Epub 2021 Jan 16. Auris Nasus Larynx. 2021. PMID: 33468349
-
Improving esthetic results in benign parotid surgery: statistical evaluation of facelift approach, sternocleidomastoid flap, and superficial musculoaponeurotic system flap application.J Oral Maxillofac Surg. 2011 Apr;69(4):1235-41. doi: 10.1016/j.joms.2010.03.005. Epub 2010 Aug 12. J Oral Maxillofac Surg. 2011. PMID: 20708323
-
Hidden Scar Dissection of Benign Parotid Gland Tumors via a V-Shaped Minimal Facelift Incision.J Craniofac Surg. 2018 Nov;29(8):2299-2303. doi: 10.1097/SCS.0000000000004670. J Craniofac Surg. 2018. PMID: 29894461 Clinical Trial.
-
Facelift approach for parotidectomy: an evolving aesthetic technique.Otolaryngol Head Neck Surg. 2013 Apr;148(4):548-56. doi: 10.1177/0194599812475221. Epub 2013 Feb 4. Otolaryngol Head Neck Surg. 2013. PMID: 23380762 Review.
Cited by
-
Modified facelift incision and superficial musculoaponeurotic system flap in parotid malignancy: a retrospective study and review of the literature.World J Surg Oncol. 2020 Jan 9;18(1):8. doi: 10.1186/s12957-020-1785-3. World J Surg Oncol. 2020. PMID: 31918725 Free PMC article. Review.
-
A new modified limited incision for superficial parotidectomy compared to modified Blair's incision.Ann Med Surg (Lond). 2023 Aug 3;85(9):4283-4288. doi: 10.1097/MS9.0000000000001123. eCollection 2023 Sep. Ann Med Surg (Lond). 2023. PMID: 37663706 Free PMC article.
-
Systematic review and meta-analysis of modified facelift incision versus modified Blair incision in parotidectomy.Sci Rep. 2021 Dec 16;11(1):24106. doi: 10.1038/s41598-021-03483-6. Sci Rep. 2021. PMID: 34916561 Free PMC article.
-
Small access postaural parotidectomy: an analysis of techniques, feasibility and safety.Eur Arch Otorhinolaryngol. 2016 Jul;273(7):1879-83. doi: 10.1007/s00405-015-3691-9. Epub 2015 Jun 30. Eur Arch Otorhinolaryngol. 2016. PMID: 26122398 Free PMC article.
-
Robot-assisted submandibular gland excision via modified facelift incision.Maxillofac Plast Reconstr Surg. 2017 Sep 5;39(1):25. doi: 10.1186/s40902-017-0122-4. eCollection 2017 Dec. Maxillofac Plast Reconstr Surg. 2017. PMID: 28944219 Free PMC article.
References
MeSH terms
LinkOut - more resources
Full Text Sources