PARTIAL SUPERFICIAL

PAROTIDECTOMY WITH

FACELIFT INCISION

Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD, Mariana Valenzuela MD, Raúl Martínez MD and Grace Tapia MD.

Dr. Sotero del Río HospitalChile

IPRAS 2013

Introduction• Neoplasms of the parotid glands

account for about 2-3% of head and neck tumors.

• Most tumors are benign and treatment is superficial parotidectomy in most cases.

• A prominent facial scar following parotid surgery can be distressing for the patient.

Lin et al. / American Journal of Otolaryngology–Head and Neck Medicine and Surgery 29 (2008) 94–100

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Introduction

•The surgical technique of superficial parotidectomy via a facelift incision is described.

Lohuis PJ et al .Ann Otol Rhinol Laryngol. 2009 Apr;118(4):276-80.

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Objective

•To present the results of

treatment of benign parotid

tumor with Partial superficial

parotidectomy with a facelift

incision

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Method• Retrospective analysis of patients with

benign parotid tumors who underwent to

Partial superficial parotidectomy with a

facelift incision at our center from 2009

to 2012.

• Medical record review

• Clinical assessment

• Questionnaire

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MethodSurgical

Technique

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MethodSurgical

Technique

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• Incision is made behind the tragus.

• Then extended distally around the origin of the earlobe to the retroauricular fold.

• At the level of the tragus the retroauricular incision is extended posteriorly and then curved in occipital direction into o just below the hairline.

Results

•The series consisted of 19 patients, 9 women.

•The average age was 42 years (range 17-56 years).

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Results

Distribution by histology

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ResultsSuprafacial

(n=53)

Partial suprafacial w/facelift(n=19)

p

Temporary facial nerve

palsy28 (52.8%) 4 (21%) <0,05

Depression of the surgical

bed9 (17%) 0 <0,05

Periauricular dysesthesia

10 (18.8%) 2 (10.5%) N.S

Frey syndrome 3 (5,7%) 0 N.S

Dissatisfied with scar

2 (3,8%) 0 N.S

Pain or periauricular discomfort

0 0 N.S

Tumor recurrence

0 0 N.S

Postoperative complication. Comparative analysis: Suprafacial vs parcial w/facelift

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Discussion

•The application of techniques less invasive such as partial suprafacial parotidectomy allow low morbidity rates and no difference in recurrence rate.

•Facelift incision provides an adequate exposure of the parotid gland for partial superficial parotidectomy

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Discussion

•It can be offered as an alternative to a group of patients who present with a small, mobile tumor in the tail of the parotid gland.

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PARTIAL SUPERFICIAL

PAROTIDECTOMY WITH

FACELIFT INCISION

Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD, Mariana Valenzuela MD, Raúl Martínez MD and Grace Tapia MD.

Dr. Sotero del Río HospitalChile

IPRAS 2013