Arch Craniofac Surg.  2018 Mar;19(1):75-78. 10.7181/acfs.2018.19.1.75.

A better facial contour accomplished by parotid duct preserving superficial parotidectomy

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital, Gumi, Korea. ccysy@hanmail.net

Abstract

Depression of facial contour after parotidectomy is still challenging to many of surgeons. A 68-year-old man presented with a 4-month history of a painless swelling in both parotid area. The mass was multiple and fixed at the parotid region. We conducted a parotid duct preserving bilateral superficial parotidectomy by one-stage operation to remove the multiple tumors. A lazy S incision was made in both preauricular area and the peripheral branches of the facial nerve were identified using surgical landmark. After dissecting the branches of the facial nerve and parotid duct, main parotid duct was preserved but only small fine ductules from the superficial lobe were ligated. Parotid gland was excised from its anterior aspect with about 1 cm of normal parotid tissue margin. The patient was followed up for 6 years to evaluate postoperative parotid gland function and the computed tomography (CT) was taken. Patient was satisfied with no significant complication such as sunken changes in facial contour, facial nerve function. As far as we know, it is the first study to compare long-term soft tissue contours of soft tissue of duct preserving superficial parotidectomy with duct sacrificing superficial parotidectomy by means of CT findings.

Keyword

Parotid duct; Parotid neoplasms; Parotidectomy

MeSH Terms

Aged
Depression
Facial Nerve
Humans
Parotid Gland
Parotid Neoplasms
Parotid Region
Surgeons
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