title: SMAS fold flap and ADM repair of the parotid bed following removal of parotid haemangiomas via pre- and retroauricular incisions to improve cosmetic outcome and prevent Frey's syndrome.
abstract: The growth of parotid haemangiomas during the proliferative phase may be rapid and unpredictable. Involution often takes many years, with attendant psychological sequelae to the child. Although conservative management is usually proposed for parotid haemangiomas occurring in infancy, this may not be particularly helpful and the haemangioma difficult to conceal. The purpose of this study was to evaluate the reliable and aesthetic benefit of using a superficial musculoaponeurotic system (SMAS) fold flap and allograft dermal matrix (ADM) repair of the parotid bed following parotid haemangiomas via pre- and retroauricular incision. Forty-three paediatric patients (33 boys and 10 girls) with haemangiomas involving the parotid gland underwent total parotidectomy using a pre- and retroauricular approach with intraoperative placement of ADM within the parotid bed. They further underwent repair of the parotid bed with SMAS fold flaps. A panel of three plastic surgeons assessed the cosmetic outcomes. All of the patients were evaluated using a short questionnaire; postoperative gustatory sweating was assessed using a modification of Minor's starch-iodine test.
authors.affiliation: Department of Oral and Maxillofacial Surgery, The Second Affiliated Hospital of Sun Yat-sen University, 107 Yan-jiang Road, Guangzhou 510120, China. drchen@vip.136.com
authors.forename: Weiliang
authors.initials: W
authors.lastname: Chen
authors.forename: Jingsong
authors.initials: J
authors.lastname: Li
authors.forename: Zhaohui
authors.initials: Z
authors.lastname: Yang
authors.forename: Wang
authors.initials: W
authors.lastname: Yongjie
authors.forename: Wang
authors.initials: W
authors.lastname: Zhiquan
authors.forename: Youyuan
authors.initials: Y
authors.lastname: Wang
mesh_terms: D002675:Child, Preschool; D004954:Esthetics; D005260:Female; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D010306:Parotid Gland / Q000601:surgery; D010307:Parotid Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D013547:Sweating, Gustatory / Q000517:prevention & control*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome