Comparative study between modified blair incision and modified facelift incision for benign parotid tumor

https://doi.org/10.53730/ijhs.v6nS6.12203

Authors

  • Haider Jihad Khudhur B. D. S., Senior Resident Maxillofacial Surgery, Iraqi Board for Medical Specialization, Iraq
  • Qais Habeeb Mussa Prof. Dr. Maxillofacial Surgery, Iraqi Board for Medical Specialization, Iraq

Keywords:

modified blair, modified facelift, benign parotid tumor, skin flap, SMAS flap

Abstract

Background: Modified Blair incision is the classical incision for benign parotid lesions, it provides good surgical exposure, but it leaves a visible scar in the neck which bothers a wide range of patients, especially female and young patients. modified facelift incision is the new alternative approach for benign parotid lesions, it cosmetically better than the modified Blair incision because this incision is hidden behind the ear and in the hairline. Materials and Methods:This prospective clinical research comprised 16 individuals who had superficial parotidectomy for benign lesions. Group 1 = 8 patients had a modified facelift incision and Group 2 = 8 had a modified Blair incision. Variables included age, gender, histological diagnosis, operating time, and surgical exposure. The major outcomes were surgical complications and patient satisfaction. Descriptive statistics include mean, median, SD, ranges, frequencies, and proportions. Fisher's exact test compared frequencies, and student's t-test (independent two groups model) compared means P< 0.05 is significant. Results: There were no statistically significant differences in postoperative complications rates between the groups. Of modified blair incisions, 25.0% suffered seroma postoperatively versus12.5 % of modified facelift incisions. Of modified blair incisions, 12.5 % suffered gustatory sweating versus none following modified facelift incisions.

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References

Amin, A., Mostafa, A., Rifaat, M., Nabawi, A., Shallan, M., Rabie, A., & Elzohairy, M. (2011). Parotidectomy for benign parotid tumors: An aesthetic approach. Journal of the Egyptian National Cancer Institute, 23(2), 67–72.

Appiani E. (1967). Handling of a parotidectomy and muscular graft. Prensa Med Argent, (54), 1242–1243.

Brennan, P. A., VishyMahadevan, & Evans, B. T. (2016). Clinical head and neck anatomy for surgeons. Boca Raton: Crc Press, Taylor & Francis Group. (pp. 59–68).

Bulut, O. C., Plinkert, P., & Federspil, P. A. (2016). Modified facelift incision for partial parotidectomy versus bayonet-shaped incision: a comparison using visual analog scale. European Archives of Oto-Rhino-Laryngology, 273(10), 3269–3275.

de Vicente, J. C., González-García, M., de Villalaín, L., &Fernández-Valle, Á. (2015). Modified facelift approach combined with a superficial musculoaponeurotic system flap in the treatment of benign parotid tumors. Journal of Cranio-Maxillofacial Surgery, 43(8), 1655–1661.

Graciano, A. J., Chone, C. T., & Fischer, C. A. (2013). Cervicomastoidfacial versus modified rhytidectomy incision for benign parotid tumors. Brazilian Journal of Otorhinolaryngology, 79(2), 168–172.

Grover, N., & D’Souza, A. (2013). Facelift Approach for Parotidectomy. Otolaryngology–Head and Neck Surgery, 148(4), 548–556.

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(5), 402–408.

Hinderer, U. T. (1977). Prevention of Unsatisfactory Scarring. Clinics in Plastic Surgery, 4(2), 199–205.

Kim, D. Y., Park, G. C., Cho, Y. W., & Choi, S. H. (2014). Partial superficial parotidectomy via retroauricular hairline incision. Clinical and Experimental Otorhinolaryngology, 7(2), 119–122.

Lee, S.-Y., Koh, Y. W., Kim, B. G., Hong, H. J., Jeong, J. H., & Choi, E. C. (2011). The Extended Indication of Parotidectomy Using the Modified Facelift Incision in Benign Lesions: Retrospective Analysis of a Single Institution. World Journal of Surgery, 35(10), 2228–2237.

Lin, T. C., Chen, P. R., Wen, Y. H., & Chou, Y. F. (2011). Intra-auricular modification of facelift incision with sternocleidomastoid flap - a cosmetic approach for parotidectomy: How we do it. Clinical Otolaryngology, 36(4), 375–379.

Lohuis, P. J. F. M., Tan, M. L., Bonte, K., van den Brekel, M. W. M., Balm, A. J. M., &Vermeersch, H. B. (2009). Superficial Parotidectomy via Facelift Incision. Annals of Otology, Rhinology & Laryngology, 118(4), 276–280.

Meningaud JP, Bertolus C, Bertrand JC. Parotidectomy: assessment of a surgical technique including facelift incision and SMAS advancement. J Craniomaxillofac Surg. 2006; 34:34-37.

Nouraei, S. A. R., Al-Yaghchi, C., Ahmed, J., Kirkpatrick, N., Mansuri, S., Singh, A., & Grant, W. E. (2006). An anatomical comparison of Blair and facelift incisions for parotid surgery. Clinical Otolaryngology, 31(6), 531–534.

Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). Get vaccinated when it is your turn and follow the local guidelines. International Journal of Health Sciences, 5(3), x-xv. https://doi.org/10.53730/ijhs.v5n3.2938

Terris, D. J., Tuff, K. M., & Fee, W. E. (1994). Modified facelift incision for parotidectomy. The Journal of Laryngology & Otology, 108(7), 574–578.

Upile, T., Jerjes, W. K., Nouraei, S. A. R., Grant, W., Singh, S., Sudhoff, H., & Hopper, C. (2009). Further anatomical approaches to parotid surgery. European Archives of Oto-Rhino-Laryngology, 267(5), 793–800.

Wasson, J., Karim, H., Yeo, J., & Panesar, J. (2010). Cervicomastoidfacial versus modified facelift incision for parotid surgery: A patient feedback comparison. Annals of the Royal College of Surgeons of England, 92(1), 40–43.

Widjaja, G. (2021). Impact of human resource management on health workers during pandemics COVID-19: systematic review. International Journal of Health & Medical Sciences, 4(1), 61-68. https://doi.org/10.31295/ijhms.v4n1.850

Zheng, Z., Li, J., Wang, J., & Sun, J. (2018). Hidden scar dissection of benign parotid gland tumors via a V-shaped minimal facelift incision. Journal of Craniofacial Surgery, 29(8), 2299–2303.

Published

26-08-2022

How to Cite

Khudhur, H. J., & Mussa, Q. H. (2022). Comparative study between modified blair incision and modified facelift incision for benign parotid tumor. International Journal of Health Sciences, 6(S6), 8072–8082. https://doi.org/10.53730/ijhs.v6nS6.12203

Issue

Section

Peer Review Articles