Modification of the access in gl. parotidea operations from a plastic-aesthetic point of view.

In benign tumours, the exposure of the gl. parotidea is usually performed via an S-shaped skin incision, which usually remains visible as a scar in the caudal region. The advantage of this incision is the excellent exposure of the entire parotid gland and the easy possibility of extension if neck dissection is necessary. The disadvantage of the visible scar can be avoided by using a retroauricular incision common in facelifting.

In 52 patients, extirpation of benign parotid tumours was performed via facelift incision.

A questionnaire was used to record the surgeons' subjective assessment of the exposure of the tumours, the visualisation of the facial nerve and the postoperative visibility of the scar.

In 46 patients, tumour extirpation was possible without problems if the tumour was located in the central or caudal glandular compartment. In two patients, the incision had to be extended in the case of a cranial tumour. Exposure of the facial nerve was possible in all cases.

Especially benign tumours located in the central and caudal part of the gland can be removed with appealing cosmetic-aesthetic results even with exposure of the facial nerve. The limitation is the clearly restricted exposure of the upper lymph node station

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Artikel online veröffentlicht:
24. Mai 2022