Journal of Prevention and Treatment for Stomatological Diseases ›› 2020, Vol. 28 ›› Issue (12): 781-784.doi: 10.12016/j.issn.2096-1456.2020.12.005

• Clinical Study • Previous Articles     Next Articles

Removal of benign tumor in the lower pole of the parotid gland through concealed incision in the retroauricular sulcus

WU Pingfan(),CHEN Linlin(),CHEN Fen,GUO Lingyan,LI Yu,LEI Zhenge,KE Xing,TAN Weibing   

  1. The Affiliated Stomatological Hospital of Nanchang University, Jiangxi Key Laboratory of Oral Biomedicine, Nanchang 330006, China
  • Received:2020-05-06 Revised:2020-06-17 Online:2020-12-20 Published:2020-11-10
  • Contact: Linlin CHEN E-mail:wupingfankq@163.com;oral_surgery@sina.com

Abstract:

Objective To assess the safety and feasibility of incision in the retroauricular sulcus for removal of benign tumors in the lower pole of the parotid gland and to provide some ideas for aesthetic consideration of parotidectomy. Methods In total, 18 cases with benign tumors of the lower pole regions of the parotid gland were included in this study, including 9 pleomorphic adenomas, 2 myoepitheliomas, 5 Warthin tumors, 1 basal cell adenoma and 1 oncocytoma. Three months after the operation, facial paralysis and salivary fistula were assessed. A visual analog scale was used to score the cosmetic satisfaction of the surgical incision. Tumor recurrence was followed up 6 ~ 12 months after operation. Results In 18 patients with benign tumors the lower pole regions of the parotid gland, the tumor diameter ranges from 1.0 to 3.1 cm, with an average value of 2.5 cm. All patients experienced successful complete removal of the parotid mass with the minimally invasive retroauricular approach, and all wounds healed in one stage after operation. No serious complications, such as permanent facial paralysis and tumor recurrence, occurred 3 months after the operation. The patients were satisfied with the appearance of the surgical incision (aesthetic score 9.3 ± 0.4), achieving the expected aesthetic effect. Conclusion This approach is feasible and safe for most small benign parotid tumors located in the lower pole region of the parotid gland and in the posterior region of the jaw. The scar is located in the retroauricular sulcus, which significantly meets the aesthetic needs of the concealed incision for patients.

Key words: parotidectomy, cosmetic incision, retroauricular sulcus, rhytidectomy, concealed incision, functional surgery, parotid tumor, facial nerve

CLC Number: 

  • R78

Figure 1

Parotidectomy was performed using an concealed incision in the retroauricular sulcus a: incision line in the retroauricular sulcus; b: the skin was removed to expose the sternomastoid muscle and parotid gland, and partial parotidectomy was completed; c: normal parotid tissue and facial nerve (arrow) were preserved; d: sternocleidomastoid muscle flap was completed; e: removal of tumor and partial parotid gland; f: postaural incision in the retroauricular sulcus"

Figure 2

Postaural concealed scar of pleomorphic adenoma postoperation"

[1] Li TC, Liu YH, Wang QG, et al. Parotidectomy by an endoscopic-assisted postauricular-groove approach[J]. Head Neck, 2019,41(9):2851-2859.
pmid: 30869186
[2] Jo MG, Lee DJ, Cha W. A modified V-shaped incision combined with superficial musculo-aponeurotic system flap for parotidectomy[J]. Acta Otolaryngol, 2019,139(2):178-183.
doi: 10.1080/00016489.2018.1562216 pmid: 30870057
[3] Zhang Q, Yang Y, Yang P, et al. Cosmetic approach selection in parotidectomy for benign parotid gland tumour according to its location[J]. J Plast Reconstr Aesthet Surg, 2019,73(5):921-926.
doi: 10.1016/j.bjps.2019.10.012 pmid: 32165143
[4] 吴平安, 陆钊群, 关亚峰, 等. 改良耳后发际切口在腮腺浅叶肿瘤切除术中的应用[J]. 中华耳鼻咽喉头颈外科杂志, 2017,52(12):905-908.
Wu PA, Lu DQ, Guan YF, et al. Application of functional parotidectomy via retroauricular hairline incision in the excising superficial parotid tumor[J]. Chin J Otorhinolaryngol Head Neck Surg, 2017,52(12):905-908.
[5] Movassaghi K, Lewis M, Shahzad F, et al. Optimizing the aesthetic result of parotidectomy with a facelift incision and temporoparietal fascia flap[J]. Plast Reconstr Surg, 2019,7(2):e2067.
[6] Bulut OC, Plinkert P, Federspil PA. Modified facelift incision for partial parotidectomy versus bayonet-shaped incision: a comparison using visual analog scale[J]. Eur Arch Otorhinolaryngol, 2016,273(10):3269-3275.
doi: 10.1007/s00405-015-3878-0 pmid: 26749559
[7] Takahiro S, Fumi S, Naoya N, et al. S-shaped incision versus facelift incision for parotid surgery[J]. Pract Otorhinolaryngol, 2019,112(3):165-171.
[8] Zhang J, Jiang Q, Na S, et al. Minimal scar dissection for partial parotidectomy via a modified cosmetic incision and an advanced wound closure method[J]. J Oral Maxillofac Surg, 2019,77(6):1317.
doi: 10.1016/j.joms.2019.02.036 pmid: 30922883
[9] Lin YQ, Wang Y, Ou YM, et al. Extracapsular dissection versuspartial superficial parotidectomy for the treatment of benign parotid tumours[J]. Int J Oral Maxillofac Surg, 2019,48(7):895-901.
pmid: 30871850
[10] Liu H, Pei J, He Y, et al. Comparison of functional change in parotid gland after surgical excision of pleomorphic adenoma by two different types of parotidectomy[J]. Oral Surg Oral Med Oral Pathol Oral Radiol, 2016,122(4):385-391.
pmid: 27492567
[11] Kilavuz AE, Songu M, Pinar E, et al. Superficial parotidectomy versus partial superficial parotidectomy: a comparison of complication rates, operative time, and hospital stay[J]. J Oral Maxillofac Surg, 2018,76(9):2027-2032.
pmid: 29715449
[12] 张强, 陈凯瑞, 谭艳林, 等. 腮腺良性肿瘤手术不同美容切口的选择[J]. 中华整形外科杂志, 2018,34(6):449-452.
Zhang Q, Chen KQ, Tan YL, et al. Different cosmetic incision selection in parotidectomy[J]. Chin J Plast Surg, 2018,34(6):449-452.
[13] Tomiyama Y. Retroauricular hairline incision for parotidectomy[J]. Nihon Jibiinkoka Gakkai Kaiho, 2016,119(10):1305-1311.
pmid: 30035972
[14] Jung YJ, Lee GJ, Sohn JH, et al. Partial superficial parotidectomy via retroauricular hairline incision[J]. Clin Exp Otorhinolaryngol, 2018,61(1):42-46.
[15] Ramraj R, Vishnu ML. Sternocleidomastoid (SCM) muscle flap after parotidectomy[J]. J Evol Med Dent Sci, 2018,7(6):714-718.
[16] 杨何平, 张洪武, 王锡榜, 等. 胸锁乳突肌瓣与美容切口在腮腺肿瘤术中的应用[J]. 口腔医学, 2018,38(8):704-707.
Yang HP, Zhang HW, Wang XB, et al. The application of sternocleidomastoid muscle flap and cosmetic incision for resection of parotid tumor[J]. Stomatology, 2018,38(8):704-707.
[17] Yuen AP. Small access postaural parotidectomy: an analysis of techniques, feasibility and safety[J]. Eur Arch Otorhinolaryngol, 2016,273(7):1879-1883.
pmid: 26122398
[18] Ahn D, Sohn JH, Lee GJ. Feasibility of a new V-shaped incision for parotidectomy: a preliminary report[J]. Br J Oral MaxillofacSurg, 2018,56(5):406-410.
[19] Cummins AJ, Surek CC, Charafeddine AH, et al. Facelift surgery following superficial parotidectomy: is it safe?[J]. Aesthetic Plast Surg, 2020,44(4):354-358.
[1] ZHANG Shuguang,YIN Xiteng,XU Wenguang,HAN Wei,LIU Zhe. Clinical analysis of 22 cases of lymphoepithelial carcinoma of parotid gland [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(6): 400-405.
[2] Shisheng CHEN, Xiaowu YAO, Zizheng LU, Minxiao LIN. Extracapsular dissection of the upper part of parotid gland benign tumor using a tragus edge combined retroauticular hairline incision approach [J]. Journal of Prevention and Treatment for Stomatological Diseases, 2017, 25(6): 398-400.
[3] LU Jian-rong, BAN Hua-jie, WANG Dai-you, ZHOU Hui-hui, LONG Ru, QIN Shu-hua. Clinical observation of sternocleidomastoid muscle flaps combined with artificial biological membrane reparing the defects after parotidectomy [J]. journal1, 2016, 24(1): 29-32.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] ZHU Song-song, HU Jing. The application of distraction osteogenesis in the temporomandibular joint ankylosis and secondary dentofacial deformities[J]. journal1, 2016, 24(1): 6 -10 .
[2] XU Jing. The influence of the impacted mandibular third molar extraction on the distal periodontal tissue of the mandibular second molar[J]. journal1, 2016, 24(1): 11 -14 .
[3] ZHONG Jiang-long, PAN Ji-yang, CHEN Wei-liang. The evaluation of Eagle syndrome treatment by surgery combined with antidepressant therapy[J]. journal1, 2016, 24(1): 26 -28 .
[4] CHEN Xi, SUN Qin-zhou. The study of colorimetric board of porcelain fused to metal restoration for moderate to severe dental fluorosis[J]. journal1, 2016, 24(1): 33 -36 .
[5] OUYANG Ke-xiong1, LIANG Jun, ZOU Rui, LI Zhi-qiang, BAI Zhi-bao, PIAO Zheng-guo, ZHAO Jian-Jiang.. Ion Torrent RNA-Seq detection and analysis of the long non-coding RNA in tongue squamous cell carcinoma[J]. journal1, 2016, 24(1): 15 -19 .
[6] YU Pei, XUE Jing, ZHANG Xiao-wei, ZHENG Cang-shang. The influence of the roughness of zirconia ceramic surface on microbial attachment[J]. journal1, 2016, 24(1): 20 -25 .
[7] LIU Fang. Clinical assessment of two fissure sealant techniques in children’s dental caries prevention[J]. journal1, 2016, 24(1): 44 -45 .
[8] . [J]. journal1, 2016, 24(1): 49 -52 .
[9] LU Jian-rong, BAN Hua-jie, WANG Dai-you, ZHOU Hui-hui, LONG Ru, QIN Shu-hua. Clinical observation of sternocleidomastoid muscle flaps combined with artificial biological membrane reparing the defects after parotidectomy[J]. journal1, 2016, 24(1): 29 -32 .
[10] LI Bin, HE Xiao-ning, GAO Yuan, HU Yu-ping. Clinical analysis of pain after two kinds of apical stop preparation[J]. journal1, 2016, 24(1): 40 -43 .
This work is licensed under a Creative Commons Attribution 3.0 License.