Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-04T19:06:29.195Z Has data issue: false hasContentIssue false
  • English
  • Français

Modified facelift incision for parotidectomy

Published online by Cambridge University Press:  29 June 2007

David J. Terris ,
Katherine M. Tuffo  and
Willard E. Fee Jr
David J. Terris*
Affiliation:
Division of Otolaryngology/Head and Neck Surgery, Stanford University Medical Center, Stanford, California.
Katherine M. Tuffo
Affiliation:
Division of Otolaryngology/Head and Neck Surgery, Stanford University Medical Center, Stanford, California.
Willard E. Fee Jr
Affiliation:
Division of Otolaryngology/Head and Neck Surgery, Stanford University Medical Center, Stanford, California.
*
David J. Terris, M. D.,Division of Otolaryngology/Head and Neck Surgery (R135). Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA. Fax: 415-725-8502.
Get access Rights & Permissions [Opens in a new window]

Abstract

The most commonly used incision for parotidectomies is the modified Blair incision. We have successfully used an alternative incision which allows good exposure, and leaves no neck scar.

Between 1 March 1989 and 1 August 1991, 18 parotidectomies were performed using a modified facelift incision. Fifteen parotidectomies were done for similar indications during the same period using a modified Blair incision. The mean age in both groups of patients was 40.3 years. The pathology and incidence of complications was similar in the two groups. The difference in mean (±SD) time of surgery between the two groups was not statistically significant: 3.14 ±0.75 hours in patients with a modified facelift incision and 3.25 ±1.27 hours in patients with a modified Blair incision (p<20.1).

The modified facelift incision is an alternative approach to parotidectomy for selected patients. It provides adequate exposure, even for a total parotidectomy and mastoidectomy and it results in improved patient satisfaction without additional risk of complications.

Keywords

Parotid glandsurgeryRhytidoplasty
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 7 , July 1994 , pp. 574 - 578
Copyright
Copyright © JLO (1984) Limited 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Appiani, A. (1967) Surgical management of parotid tumors. Revista Argentina de Cirugia 21: 236.Google Scholar
Appiani, A. (1984) Plastic incisions for facial and neck tumors. Annals of Plastic Surgery 13: 335–352.CrossRefGoogle ScholarPubMed
Bailey, H. (1941) The treatment of tumours of the parotid glands. British Journal of Surgery 111: 337–346.Google Scholar
Blair, V. P. (1918). Surgery and Diseases of the Mouth and Jaws, 3rd Edition, C. V. Mosby, St Louis, Mo., pp 492–523.Google Scholar
Cohen, S. (1988) Personal experience with an alternate incision for parotidectomy. Journal of Otolaryngology 17: 382–384.Google ScholarPubMed
Conley, J., Baker, D. C. (1981) Cancer of the salivary glands. In Cancer of the Head and Neck. (Suen, J. Y., Myers, E. N., eds.), Churchill-Livingstone, New York, pp 524–556.Google Scholar
Ferreria, J. L., Maurino, N., Michael, E., Ratinoff, M., Rubio, E. (1990) Surgery of the parotid region: anew approach. Journal of Oral and Maxillofacial Surgery 48: 803–807.CrossRefGoogle Scholar
Guerrerosantos, J., Dicksheet, S., Guillen, C., Andino, N. (1982) Hidden incision in surgery of parotid, submandibular, cervical, and cheek benign tumors. Annals of Plastic Surgery 9: 402–408.CrossRefGoogle Scholar
Hagan, W. E., Anderson, J. R. (1980) Rhytidectomy techniques utilized for benign parotid surgery. Laryngoscope 98: 711–715.CrossRefGoogle Scholar
Hinderer, U. T. (1977) Prevention of unsatisfactory scarring. Clinics in Plastic Surgery 4: 199–205.CrossRefGoogle ScholarPubMed
McFarland, J. (1936) Three hundred mixed tumors of the salivary gland, of which sixty-nine recurred. Surgery, Gynecology, Obstetrics 63: 457–468.Google Scholar
Woods, J. E., Chong, G. C., Beahrs, O. H. (1975) Experience with 1360 primary parotid tumors. American Journal of Surgery 130: 460–462.CrossRefGoogle Scholar