Cervicomastoidfacial versus modified rhytidectomy incision for benign parotid tumors

Revista Brasileira de Otorrinolaringologia

Fischer, Carlos Augusto¹  Graciano, Agnaldo José²  Chone, Carlos Takahiro³ 

[1] Hospital São José;Hospital São José, Joinville;Universidade Estadual de Campinas

关键词: otorhinolaryngologic;    surgical procedures;    parotid gland;    parotid neoplasms;    parotid region.;   

DOI  :  10.5935/1808-8694.20130030

学科分类：医学（综合）

来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial

【 摘 要 】

The modified rhytidectomy incision is an alternative to the classic cervicomastoidfacial approach for parotid surgery, camouflaging the scar in barely visible areas, resulting in better cosmesis. However, there are very few studies comparing the incidence of complications and functional results of patients submitted to parotidectomy through these two different approaches. OBJECTIVE: Compare the incidence of complications and functional results of patients with benign parotid neoplasms submitted to surgery through the classical incision versus the modified rhytidectomy approach. METHOD: Retrospective cohort study evaluating the demographics, surgical and post-operative characteristics of an equally distributed group of sixty patients submitted to parotidectomy via cervicomastoidfacial incision or modified rhytidectomy approach. RESULTS: There were no significant differences in complications rates and functional results between the groups, except for a lower incidence of early facial movement dysfunction for the modified rhytidectomy approach - which was 86% lower in this group of patients. CONCLUSION: Modified rhytidectomy incision has shown comparable complication rates to those of the classic approach and a lower incidence of immediate facial movement impairment.

【 授权许可】

CC BY