title: Esthetic and functional reconstruction after parotidectomy in pediatric patients - A case series.
abstract: Parotidectomy is a mainstay of treatment for benign and malignant parotid lesions in children and adults. Depending on surgical methods used and tumor size, parotidectomy may result in significant facial disfigurement as well as functional challenges. We describe a series of four pediatric patients, ages 13-16 who presented to our clinic with a parotid mass. All patients underwent parotidectomy with immediate reconstruction by local tissue rearrangement or free fat graft. Esthetic and functional reconstruction after parotidectomy is not well described in pediatric otolaryngology literature. A review of current literature and description of reconstructive methods is included.
authors.affiliation: Department of Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, United States; Department of Otolaryngology, Thomas Jefferson Hospital, Philadelphia, PA, United States. Electronic address: lucas.bryant@jefferson.edu.
authors.forename: Lucas M
authors.initials: LM
authors.lastname: Bryant
authors.affiliation: Department of Otolaryngology, Thomas Jefferson Hospital, Philadelphia, PA, United States.
authors.forename: David
authors.initials: D
authors.lastname: Cognetti
authors.affiliation: Department of Otolaryngology, Thomas Jefferson Hospital, Philadelphia, PA, United States.
authors.forename: Adam
authors.initials: A
authors.lastname: Baker
authors.affiliation: Department of Otolaryngology, Thomas Jefferson Hospital, Philadelphia, PA, United States.
authors.forename: Sudeep
authors.initials: S
authors.lastname: Roy
authors.affiliation: Department of Otolaryngology, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE, United States.
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Johnston
authors.affiliation: Department of Otolaryngology, Thomas Jefferson Hospital, Philadelphia, PA, United States.
authors.forename: Joseph
authors.initials: J
authors.lastname: Curry
authors.affiliation: Department of Otolaryngology, Thomas Jefferson Hospital, Philadelphia, PA, United States.
authors.forename: Howard
authors.initials: H
authors.lastname: Krein
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000293:Adolescent; D062109:Dermatologic Surgical Procedures; D004954:Esthetics; D005145:Face / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D010306:Parotid Gland / Q000601:surgery; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies
keywords: Adipose autograft; Fat graft; Parotid neoplasm; Parotidectomy; Pediatric; Superficial musculoaponeurotic system (SMAS)