Korean J Otorhinolaryngol-Head Neck Surg.  2015 May;58(5):337-340. 10.3342/kjorl-hns.2015.58.5.337.

Comparison of Modified Blair Incision and Modified Facelift Incision in Parotidectomy

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Hanyang University College of Medicine, Seoul, Korea. kytae@hanyang.ac.kr

Abstract

BACKGROUND AND OBJECTIVES
Modified Blair incision (MBI) and Modified facelift incision (MFI) are mainly used for paroidectomy. MBI can provide a wide surgical view for parotidectomy. MFI was designed for better cosmesis by hiding the incision behind the auricle and hair line. This study was performed to evaluate surgical outcomes, functional and cosmetic results after parotidectomy using MBI and MFI.
SUBJECTS AND METHOD
We retrospectively reviewed medical records of 120 patients who underwent parotidectomy from September 2005 to April 2012. Tumor characteristics, operative outcome, and cosmetic outcome according to incision method were investigated. Cosmetic satisfaction was assessed using a questionnaire 12-18 months after surgery.
RESULTS
Tumor characteristics such as size, location and pathologic features did not differ between the two groups. The extent of parotidectomy, operation time, amout of drainage, and complications were also not different between the two groups. Cosmetic satisfaction was significantly supeior in the MFI group than that of the MBI group.
CONCLUSION
MFI is superior to MBI for parotidectomy for having similar surgical outcome but better esthetical success compared to MBI.

Keyword

Modified Blair incision; Modified facelift incision; Parotidectomy; Parotid tumor

MeSH Terms

Drainage
Hair
Humans
Medical Records
Surveys and Questionnaires
Retrospective Studies
Rhytidoplasty*
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