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CC BY 4.0 · Int Arch Otorhinolaryngol 2025; 29(02): s00441788911
DOI: 10.1055/s-0044-1788911
Original Research

Esthetic and Functional Outcomes of Superficial Parotidectomy Comparing Three Reconstruction Techniques: An Interventional Clinical Study

Autor*innen

  • Sherif Mohammad Askar 

    1   Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

  • Abd ElRaof Said Mohamed

    1   Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

  • Tamer Oraby

    1   Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

  • Ibrahim Khaled

    1   Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

  • Mahmoud Megahed

    1   Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

  • Ali Awad

    1   Department of Otorhinolaryngology–Head and Neck Surgery, Faculty of Medicine, Zagazig University, Zagazig, Sharkia Governorate, Egypt

Funding The authors declare that they did not receive financial support from agencies in the public, private or non-profit sectors to conduct the present study.
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Abstract

Introduction Preauricular defect is one of the main concerns after superficial parotidectomy. Plastic surgeons have described many filling techniques to overcome the problem.

Objective To discuss three reconstruction techniques after superficial parotidectomy: partial-thickness, superiorly based sternocleidomastoid muscle flap; en-bloc fat graft; and platelet-rich fibrin gel, with a comparison of aesthetic and functional outcomes.

Methods The present study included 29 adult patients submitted to reconstruction after superficial parotidectomy by partial-thickness, superiorly based sternocleidomastoid muscle flap, en-bloc fat graft, and platelet-rich fibrin gel. A subjective evaluation of the facial nerve functions was conducted through a visual analog scale (VAS) with scores from 0 to 5, which was completed by the patient, a close relative, and 3 blinded staff members.

Results Regarding the VAS, in the comparison of the 3 groups at the sixth and twelfth postoperative months, the fat-graft group reported the highest mean values for satisfaction (3.4 ± 1.1 and 3.83 ± 0.97 respectively). The fat-graft group also showed highly significant differences when compared with the groups submitted to the sternocleidomastoid muscle flap (p = 0.0001) and the platelet-rich fibrin gel techniques (p = 0.016).

Conclusion Parotidectomy with immediate reconstruction of the surgical defect through an en-block fat graft provides better esthetic outcomes than sternocleidomastoid muscle flap and platelet-rich fibrin gel after one year. The patients submitted to the sternocleidomastoid muscle flap and fat-graft techniques reported minimal surgical site morbidity and a lower chance of developing Frey syndrome. The fat graft resulted in the best degree of cosmetic satisfaction, with minimal morbidity. Fat overcorrection is recommended.

Keywords

superficial parotidectomy - sternomastoid muscle flap - fat graft

Informed Consent

Informed consent was obtained from all participants of the present study.


Ethical Approval

The institutional Review Board approved the research methodology (Zag IRB-1271). Written informed consent was obtained from the participants. All procedures involving human participants were performed following the ethical standards of our institution and/or national research committee, as well as the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.




Publikationsverlauf

Eingereicht: 29. Januar 2024

Angenommen: 17. Juni 2024

Artikel online veröffentlicht:
22. April 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Sherif Mohammad Askar, Abd ElRaof Said Mohamed, Tamer Oraby, Ibrahim Khaled, Mahmoud Megahed, Ali Awad. Esthetic and Functional Outcomes of Superficial Parotidectomy Comparing Three Reconstruction Techniques: An Interventional Clinical Study. Int Arch Otorhinolaryngol 2025; 29: s00441788911.
DOI: 10.1055/s-0044-1788911