Korean J Otorhinolaryngol-Head Neck Surg.  2015 Jan;58(1):37-43. 10.3342/kjorl-hns.2015.58.1.37.

Modified Blair Incision versus Modified Facelift Incision Combined with Sternocleidomastoid Muscular Flap in Parotidectomy

• Ahn D
• Kim H
• Choi JH
• Sohn JH

• KMID: 2277929
• DOI: http://doi.org/10.3342/kjorl-hns.2015.58.1.37

Abstract

BACKGROUND AND OBJECTIVES
To evaluate the feasibility of a modified facelift incision with sternocleidomatoid muscular (SCM) flap as a first-line surgical approach for a parotidectomy by comparison with the modified Blair incision.
SUBJECTS AND METHOD
From March 2011 to February 2014, 66 patients who underwent parotidectomy were enrolled in the study and their medical records were reviewed retrospectively. Patients with suspicious malignant tumor, metastatic lymph node, and parapharyngeal tumor in the preoperative examination were excluded from the study. Patients and tumor profiles, surgical outcomes, complications, and cosmetic outcomes were studied to compare the modified facelift incision between the SCM flap group (n=32) and the modified Blair incision group (n=34).
RESULTS
There were no significant differences between the two groups with respect to tumor location, tumor size, extent of surgery, operative times, postoperative drainage, and any type of complications. The modified facelift incision with SCM flap group had higher scar satisfaction scores than the modified Blair incision group (8.5 vs. 5.7, p<0.001).
CONCLUSION
Modified facelift incision with SCM flap can be used as a first-line surgical approach for parotidectomy in benign parotid tumor with better cosmetic outcome without increased complications.

Keyword

Cosmetics; Parotid neoplasm; Rhytidoplasty; Surgery

MeSH Terms

Cicatrix
Drainage
Humans
Lymph Nodes
Medical Records
Operative Time
Parotid Neoplasms
Retrospective Studies
Rhytidoplasty*