Face-lift approach combined with a superficial musculoaponeurotic system advancement flap in parotidectomy.
A standard bayonet-shaped incision with no reconstruction of the parotid bed is usually used for removal of parotid tumours. Its disadvantages are often an obvious cervical scar, a conspicuous shallow contour around the angle of the mandible, and gustatory sweating. We have studied 17 patients with benign parotid tumours, who were treated by superficial parotidectomy with a combination of a face-lift approach and a superficial musculoaponeurotic system (SMAS) advancement flap. The patients were followed up every 6 months for 3 years. All patients were satisfied with the cosmetic outcome, and the depression deformity was considerably less. This approach prevented gustatory sweating. We think that this approach is simple and a useful tool in parotidectomy.
Foustanos
Andreas
A
Plastic Surgery Department, Iaso Hospital, 37-39 Kifisias Avenue, 151 23 Maroussi, Athens, Greece. foustand@otenet.gr <foustand@otenet.gr>
Zavrides
Harris
H
D008949:Adenoma, Pleomorphic / Q000601:surgery; D000368:Aged; D002921:Cicatrix / Q000517:prevention & control; D004210:Dissection / Q000379:methods; D004954:Esthetics; D005205:Fascia / Q000637:transplantation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation*; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000601:surgery*; D017060:Patient Satisfaction; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D013524:Surgical Flaps; D013547:Sweating, Gustatory / Q000517:prevention & control; D016896:Treatment Outcome