A comparison of modified Blair and esthetic incisions for benign parotid surgery: V-shaped incision for parotidectomy

• Yamamoto Keisuke

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Kurose Makoto

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Kakiuchi Akito

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Kakuki Takuya

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Takahashi Ayumi

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Obata Kazufumi

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Okuni Tsuyoshi

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Kondo Atsushi

  Department of Otolaryngology, Sapporo Medical University School of Medicine

• Takano Kenichi

  Department of Otolaryngology, Sapporo Medical University School of Medicine

Bibliographic Information

Other Title

• 耳下腺良性腫瘍に対するS字状切開と審美的な切開線の検討：V-shaped incisionの応用

Abstract

Objective: The purpose of this study was to propose a V-shaped incision （VSI） and to compare cosmetic incisions, including modified facelift incision （mFLI）, retroauricular hairline incision （RAHI）, and VSI, with the conventional modified Blair incision （MBI） in terms of complications and esthetic outcomes for the treatment of benign parotid gland tumors.<br>Methods: We reviewed the clinical data of 37 patients who underwent partial parotidectomy as the primary treatment for benign parotid tumors between January 2017 and September 2019. The patients were divided into the MBI and mFLI/RAHI/VSI groups. Operation variables and cosmetic satisfaction of matched pairs were compared between the two groups.<br>Results: Twenty patients underwent conventional MBI, five patients mFLI, seven patients RAHI, and five patients VSI. The external ear canal cartilage, mastoids, the anterior edge of the sternocleidomastoid muscle, and the posterior belly of the digastric muscle could be visualized using VSI and therefore the tumor could be resected while identifying the main facial nerve trunk. The postoperative wound was localized around the ear lobe because there was no incision line from the posterior auricle to the mastoid process. We selected mFLI/RAHI/VSI over MBI for tumors that were significantly small and not anterior. The operation time and complications, including facial palsy, Frey’s syndrome, salivary fistulas, and wound problems, did not differ between the two groups. Reponses to the questions “Is the scar visible?” and “Do you want more esthetic surgery?” did not significantly differ between the two groups.<br>Conclusion: mFLI, RAHI, and VSI are safe and preferable approaches for parotidectomy, especially for tumors that are small and not anterior.

Journal

• JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY

  JOURNAL OF JAPAN SOCIETY FOR HEAD AND NECK SURGERY 31 (2), 147-155, 2021

  JAPAN SOCIETY FOR HEAD AND NECK SURGERY

Keywords

• benign parotid gland tumor
• modified Blair incision （MBI）
• modified facelift incision （mFLI）
• retroauricular hairline incision （RAHI）
• V-shaped incision （VSI）

Details

• CRID: 1390571481510057344
• NII Article ID: 130008115317
• DOI: 10.5106/jjshns.31.147
• ISSN: 1884474X
• ISSN: 1349581X
• Web Site: https://www.jstage.jst.go.jp/article/jjshns/31/2/31_147/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2022066509
• Text Lang: ja
• Data Source:
  • JaLC
  • Crossref
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed