[Clinical utilization of veiled incision and sternocleidomastoid flap in parotidectomy of parotid benign tumors].
OBJECTIVE
To describe a modified technique of parotidectomy using face-lift approach and sternocleidomastoid flap.


METHODS
Forty-six patients were divided into two groups; group 1 (23 cases) using veiled incision and sternocleidomastoid flap, group 2 (23 cases) using traditional incision (Blair's approach) without sternocleidomastoid flap. Postoperative complications included temporary facial paralysis and salivary fistula. The follow-up period was 2 years, oncological recurrence was compared between the two groups. The incidence of Frey's syndrome and the feeling of the region around the auricular lobule were evaluated. The data was analyzed using SPSS10.0 software package with Student's t test and Chi-square test.


RESULTS
During the follow up period, the patients in the group 1 showed better aesthetic results than those in the group 2 and without obvious scar and deformity. There was no significant difference between these two groups in temporary facial paralysis, salivary fistula, tumor recurrence, Frey's syndrome, the feeling of the region around the auricular lobule.


CONCLUSIONS
The modified technique of parotidectomy using veiled incision and sternocleidomastoid flap greatly reduces the disadvantages of traditional parotidectomy and provides better aesthetic results.
Ren
Wen-hao
WH
Department of Oral and Maxillofacial Surgery/Oncological Head and Neck Surgery, College of Stomatology, Xi'an Jiaotong University, Xi'an 710004, China. herohao@gmail.com
Zhi
Ke-qian
KQ
Gao
Ling
L
Xu
Yan
Y
Li
Xing-qiang
XQ
Shi
Ming-juan
MJ
D054644:Ear Auricle; D005145:Face; D006801:Humans; D009369:Neoplasms; D010306:Parotid Gland; D010307:Parotid Neoplasms; D011183:Postoperative Complications; D013524:Surgical Flaps; D013547:Sweating, Gustatory