Modified face-lift approach combined with a superficially anterior and superior-based sternocleidomastoid muscle flap in total parotidectomy.
OBJECTIVE
The authors evaluate a modified total parotidectomy performed through a modified face-lift incision integrated with a superficially anterior and superior pedicled sternocleidomastoid muscle (SASSCM) flap.


METHODS
Records of 86 cases of total parotidectomy were reviewed retrospectively. Clinical evaluation of cosmetic gratification, presence or absence of gustatory flushing or sweating, functional reversion of the seventh cranial nerve and great auricular nerve (GAN) were undertaken by 3 investigators independent to the operators.


RESULTS
This group presents a mean follow-up of twenty-six months. The average scale of cosmetic gratification from patients and investigators are 7.97 and 7.56, respectively. Almost total complaints about anesthesia in upper cervical part and cheek disappeared within three months postoperatively. Neither in objective test nor from subjective complaint was gustatory sweating identified in present study.


CONCLUSIONS
The authors' technique is esthetically pleasing and efficacious to prevention of gustatory sweating in total parotidectomy.
Department of Maxillofacial Surgery, Fourth Affiliated Hospital, Kunming City, China.
Hua
H
Liu
Yisong
Y
Li
Xiaoming
X
Dai
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D013507:Endocrine Surgical Procedures / Q000379:methods*; D004954:Esthetics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009334:Neck Muscles / Q000601:surgery; D010306:Parotid Gland / Q000601:surgery*; D010307:Parotid Neoplasms / Q000601:surgery; D017060:Patient Satisfaction; D012189:Retrospective Studies; D015361:Rhytidoplasty / Q000379:methods*; D013524:Surgical Flaps; D013547:Sweating, Gustatory / Q000517:prevention & control*; D055815:Young Adult