Clin Exp Otorhinolaryngol.  2014 Jun;7(2):119-122.

Partial Superficial Parotidectomy via Retroauricular Hairline Incision

• Kim DY
• Park GC
• Cho YW
• Choi SH

Abstract

OBJECTIVES
The purpose of this study was to evaluate the usefulness of retroauricular hair line incision (RAHI) in partial superficial parotidectomy by comparison with modified Blair incision or facelift incision.
METHODS
Medical records of 73 patients with benign parotid tumor who underwent partial superficial parotidectomy were retrospectively reviewed. Size and location of tumors, operative time, occurrence of facial nerve paralysis and Frey's syndrome, and cosmetic outcomes were compared among RAHI, facelift incision (FLI), modified Blair incision (MBI) groups.
RESULTS
RAHI group showed better cosmetic results than FLI group or MBI group compared with other type of incisions (P<0.001, P<0.001, respectively). Among the 3 groups, there were no significant differences of operative time and location of tumor (P=0.377), size of tumor (P>0.999), occurrence of temporary or permanent facial nerve paralysis (P=0.745) and Frey's syndrome (P=0.940).
CONCLUSION
Partial superficial parotidectomy can be done safely by RAHI in most cases of benign parotid tumor. Compared with MBI or FLI, RAHI has better cosmetic outcome with no increase of operative time or postoperative complications.

Keyword

Partial superficial parotidectomy; Retroauricular hair line incision; Parotid gland

MeSH Terms

Facial Nerve
Hair
Humans
Medical Records
Operative Time
Paralysis
Parotid Gland
Postoperative Complications
Retrospective Studies
Rhytidoplasty
Sweating, Gustatory

Figure

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  Fig. 1 Types of incsion for parotid tumor. (A) Retroauricular hair line incision. (B) Modified Blair incision. (C) Facelift incision

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  Fig. 2 Surgical procedure of partial superficial parotidectomy via the retroauricular hair line incision approach. (A) An incision was made along the postauricular sulcus and hairline without a preauricular incision. (B) After finding the trunk of the facial nerve and its branches, partial superficial parotidectomy was performed, resulting in the removal of some surrounding parotid parenchyma. (C) Postoperative photograph of a patient, taken immediately, showing a good cosmetic outcome without a visible incision scar or a sunken defect of the parotid region. (D) The mass was removed completely, along with normal parotid parenchyma, without capsular rupture.

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