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Modified Functional Superficial Parotidectomy With Ligation of the Major Branch of the Parotid Duct Extending to the Superficial Lobe

Chang, Jung Woo MD*; Leem, Soo Seong MD*; Choi, Hwan Jun MD, PhD; Lee, Jang Hyun MD, PhD*

doi: 10.1097/SAP.0000000000000885
Head and Neck Surgery

Abstract: A functional superficial parotidectomy can maintain salivary function by preserving the Stensen duct. However, this technique still brings the possibility of salivary leakage, because major branches of the parotid duct from the resected site do not get ligated. To reduce this complication, this study introduces a modified technique with major branch ligation. From December 2008 to February 2015, 14 patients who underwent superficial parotidectomy were divided into 2 groups. Group A was treated with the modified functional superficial parotidectomy involving the major branch between the superficial lobe and parotid duct. Group B was treated with the conventional superficial parotidectomy without involving the major branch of the parotid duct. The clinical complications, period of Hemovac usage, and surgical duration were noted in each group. Two of 8 patients in group A had a major branch from Stensen duct that was ligated, and there was no evidence of salivary leakage or sialocele in any of the patients of group A, whereas group B contained 2 cases of salivary leakage, one of which became sialocele. Group A had a significantly longer Hemovac maintenance period than group B (P < 0.05), and the duration of surgery was also significantly different between the 2 groups (P < 0.05). Because a solitary major branch of the main parotid duct occasionally extends toward the superficial lobe, our modified technique—functional superficial parotidectomy with ligation of the major branch toward the superficial lobe—is a useful option for treatment of a benign parotid mass in such cases.

From the *Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri; and †Department of Plastic and Reconstructive Surgery, Soonchunhyang University Cheonan Hospital, Soonchunghyang University College of Medicine, Cheonan, Republic of Korea.

Received June 12, 2016, and accepted for publication, after revision, June 25, 2016.

Conflict of interest and sources of funding: none declared.

Reprints: Jang Hyun Lee, MD, PhD, Department of Plastic and Reconstructive Surgery, Hanyang University Guri Hospital, 153 Gyeongchun-ro, Guri-si, Gyeonggi-do, Korea. E-mail: pslee@hanyang.ac.kr.

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