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Modified facelift incision for parotidectomy

Published online by Cambridge University Press:  29 June 2007

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.

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1994

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