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Hidden Scar Dissection of Benign Parotid Gland Tumors via a V-Shaped Minimal Facelift Incision

Zheng, Zhiwei, DDS*,†,‡; Li, Jun, DDS*,†,‡; Wang, Jinbing, DDS*,†,‡; Sun, Jian, MD, DDS*,†,‡

doi: 10.1097/SCS.0000000000004670
Technical Strategies

Objectives: The purpose of this article was to propose a V-shaped minimal facelift incision (FLI) and analyze its efficacy for improving the esthetic outcomes of parotid gland tumors.

Methods: A prospective, nonrandomized study was performed. Forty-six patients with category I benign parotid tumors as to Quer classification (3 cm or less and located superficially and/or peripherally in the gland) were enrolled. The 46 patients who underwent dissection of parotid gland tumors were divided into 2 groups: minimal FLI (group 1) and modified Blair incision (MBI, group 2). The modified minimal FLI was performed via V-shaped preauricular and retroauricular incision with no extension to the hair bearing skin. The operation variables and the cosmetic satisfaction of the patients in each group were compared.

Results: Twenty-three patients underwent the minimal FLI approach and 23 underwent the conventional modified Blair incision approach. No recurrence developed in any of the patients at the follow-up for an average of 18.9 ± 2.7 months. Among the operation factors, the authors observed no other significant differences in the size of tumor, operative time, or completeness of resection (P > 0.05). Moreover, facial palsy and Frey syndrome also did not differ between the 2 groups (P > 0.05). However, cosmetic satisfaction evaluated with a graded scale showed much better results in the V-shaped minimal FLI approach group (P < 0.001).

Conclusion: V-shaped minimal FLI with excellent cosmetic outcomes could be used as a safe and preferable approach for parotidectomy, especially for the more conservative extracapsular dissection in small tumors.

*Department of Oral and Maxillofacial—Head and Neck Oncology, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai Key Laboratory of Stomatology

National Clinical Research Center of Stomatology, Shanghai, China.

Address correspondence and reprint requests to Jian Sun, MD, DDS, Department of Oral and Maxillofacial—Head and Neck Oncology, Shanghai Ninth People’ s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China; Shanghai Key Laboratory of Stomatology, Shanghai, China; National Clinical Research Center of Stomatology, 639 Zhizaoju Road, Shanghai 200011, China; E-mail:

Received 11 February, 2018

Accepted 14 April, 2018

ZZ and JL contributed equally to this study, and should be regarded as joint first authors.

This work was supported by National Natural Science Foundation of China (no. 81771042).

The authors report no conflicts of interest.

© 2018 by Mutaz B. Habal, MD.