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1.
Rev Med Liege ; 75(7-8): 509-511, 2020 Jul.
Artigo em Francês | MEDLINE | ID: mdl-32779900

RESUMO

Sclerosing polycystic adenosis (SPA) is a rare benign epithelial lesion of the salivary glands, of unknown etiology, mainly affecting the parotid gland. We report the first clinical case of SPA involving the deep parotid gland with extension in the parapharyngeal space and the masticatory region. It has been resected by an external parotidectomy approach exclusively, despite the median extension of the lesion. The objective of this article is to complete the small series of cases described in the literature, and to update the knowledge of this rare disease.


Assuntos
Conhecimento , Glândula Parótida , Humanos , Espaço Parafaríngeo
2.
Artigo em Chinês | MEDLINE | ID: mdl-32791640

RESUMO

Objective:To evaluate the value of high-resolution ultrasonography in the diagnosis of parotid space occupying lesions. Method:Ultrasonographic findings of 102 patients with pathologically proved parotid lesions were retrospectively analyzed. The size, margin, shape, internal echoes distribution, presence of anechoic areas, blood flow signal and accompanying signs of the lesions were observed. Result:Of 102 cases, there were 91 benign lesions, the conform rate was 83.5%; there were 11 malignant lesions, the conform rate was 72.7%. Between benign and malignant lesions, the differences of margin, shape and the detection rate of blood flow signal were statistically significant(P<0.05). Among the benign lesions, pleomorphic adenoma and adenolymphoma were the most common. The shape, internal echoes distribution and presence of anechoic areas were significantly different between these two diseases(P<0.05). Of other rare benign tumors, 85.7% cases could be correctly diagnosed as benign before surgery, but the correct diagnosis rate for pathological types of lesions was low. Conclusion:Parotid lesions with unique ultrasonographic characteristics which are helpful in differentiating the benign neoplasms from the malignant ones, as pleomorphic adenoma from adenolymphoma. However, it is difficult to identify the qualitative diagnosis of low-grade malignant parotid neoplasms and the pathological classification of rare parotid lesions with ultrasonography, and further biopsy or surgical resection is needed to confirm the diagnosis.


Assuntos
Adenolinfoma , Adenoma Pleomorfo , Neoplasias Parotídeas/diagnóstico , Diagnóstico Diferencial , Humanos , Glândula Parótida , Estudos Retrospectivos , Ultrassonografia
3.
Artigo em Chinês | MEDLINE | ID: mdl-32842200

RESUMO

Objective:To explore the adjacent anatomic relationship and classification of Work Ⅰ congenital first branchial cleft anomaly(CFBCA) in order to guide clinical practice. Method:The data of 48 cases of Work Ⅰ CFBCA with complete data were analyzed retrospectively. Result:All 48 lesions were completely resected. 48 sides(100.0%) were anatomically preserved facial nerve, partial parotidectomy was performed on 33 sides(68.8%), superficial lobe+deep lobe partial parotidectomy was performed on 9 sides(18.8%), and 6 sides(12.5%) was not performed parotidectomy. External auditory canal reconstruction was performed on 32 sides(66.7%); 43 sides(89.6%) underwent the anatomical preservation of the auricular lobe branch of the great auricular nerve; 9 sides(18.8%) was performed selective cervical lymphadenectomy at the same time. 45 sides of Work Ⅰ CFBCA presented irregular cystic or lobulated structure, the lesion was located below and behind the junction of the external auditory meatus bone and cartilage and distributed along the longitudinal axis of the external auditory canal; 3 sides were isolated in superficial lobe parenchyma of parotid gland. All lesions were located on the superficial surface of the main trunk and branches of the facial nerve. The average value of the shortest vertical distance between the lower edge of the lesion and the outlet of the main trunk of the facial nerve at the stylomastoid foramen was 7.2 (0-13.4 )mm. Based on preoperative images and intraoperative findings, according to the adjacent relation with external auditory meatus , parotid gland and facial nerve, the classification of Work Ⅰ congenital first branchial cleft anomaly is proposed, which is specifically divided into 4 types: C1(posterior wall of the external auditory meatus) 17 cases(35.4%), C2(inferior wall of the external auditory meatus) 13 cases(27.1%), C3 (multi wall of the external auditory meatus) 15 cases(31.3%), C4(isolated from parotid gland parenchyma) 3 cases(6.3%). Conclusion:Work Ⅰ CFBCA has a close relationship with the adjacent anatomy of the region, and familiar with the classification of Work Ⅰ congenital first branchial cleft anomaly is helpful for the treatment of type and accurate resection.


Assuntos
Região Branquial , Nervo Facial , Meato Acústico Externo , Glândula Parótida , Estudos Retrospectivos
4.
Medicine (Baltimore) ; 99(28): e20218, 2020 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-32664055

RESUMO

RATIONALE: Mammary analogue secretory carcinoma is a low grade salivary gland malignancy, first described by Skalova et al in 2010. The histological, immunohistochemical, and molecular characteristics of this tumor resemble those of secretory carcinoma of the breast. PATIENT CONCERNS: A 40-year-old male patient without any specific past history came with complaints of 4 cm-sized hard, fixed, right infra-auricular mass without tenderness. There was no enlarged or enhancing lymph node in both neck. DIAGNOSES: Fine needle aspiration biopsy was done for right parotid mass and pathologic report was "lymphocytes only" that suggested benign or low-grade malignant parotid tumor. INTERVENTIONS: Partial parotidectomy including mass excision was performed. Operative finding showed hard bluish mass located in deep lobe of right parotid gland. OUTCOMES: Final pathologic report revealed secretory carcinoma of parotid gland. Homogenous eosinophilic secretions were identified inside microcystic structure. The immunophenotype was positive for epithelial membrane antigen, vimentin, S-100 protein. After 15 months of the surgery, the patient showed negative evidence of disease state. LESSONS: We present here a case of mammary analogue secretory carcinoma of the parotid gland to help further characterize this rare tumor.


Assuntos
Carcinoma Secretor Análogo ao Mamário/patologia , Glândula Parótida/patologia , Neoplasias das Glândulas Salivares/patologia , Adulto , Humanos , Masculino
5.
J Comput Assist Tomogr ; 44(4): 569-570, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32697528

RESUMO

Crystalloids are occasionally encountered on fine needle aspiration of cystic parotid lesions. This goal of this study was to retrospectively characterize the MRI features of a series benign crystalloid-containing parotid cysts. A total of 4 patients with fine needle aspiration findings of crystalloids and available parotid MRI scans were identified. Review of the imaging revealed that the cystic lesions contain layering material that corresponds to crystals.


Assuntos
Cistos/diagnóstico por imagem , Glândula Parótida/patologia , Neoplasias Parotídeas/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Biópsia por Agulha Fina , Cistos/patologia , Feminino , Humanos , Imagem por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Glândula Parótida/diagnóstico por imagem , Neoplasias Parotídeas/patologia , Interpretação de Imagem Radiográfica Assistida por Computador , Estudos Retrospectivos
6.
J Craniomaxillofac Surg ; 48(8): 724-732, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32527623

RESUMO

In this study, we aimed to reveal the long-term impact of radiotherapy on recovery of facial animation function after facial nerve repair using sural nerve grafting in patients undergoing parotid gland surgery. We reviewed the medical records of patients who did or did not undergo radiotherapy following sural nerve graft repair after parotid gland surgery. Facial function metrics, such as House-Brackmann (HB) scale scores and FACEgram measurements, were used to compare facial muscle function between groups. Postoperative radiotherapy was performed in 14 of 21 patients. There was no significant difference regarding successful repair (HB I-III), which was achieved in three of 14 irradiated patients and two of seven non-irradiated patients (p = 0.181). On FACEgram analysis, there was no significant difference in mean smile excursion length between the radiotherapy group (9.16 ± 8.48 mm) and the control group (6.15 ± 4.24 mm) (p = 0.392). There was no significant difference in the mean angle of excursion between the irradiated group (3.59 ± 3.73°) and the non-irradiated group (1.06 ± 5.24°) (p = 0.216). In this study, postoperative radiotherapy did not appear to prevent successful recovery of facial function after sural nerve grafting in parotid gland surgery.


Assuntos
Paralisia Facial , Neoplasias Parotídeas , Nervo Facial , Humanos , Glândula Parótida , Nervo Sural , Resultado do Tratamento
7.
J Craniomaxillofac Surg ; 48(6): 590-598, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32362539

RESUMO

OBJECTIVES: Salivary gland tumors are predominantly benign and frequently localized in the parotid gland (P). The treatment consists primarily of surgical removal; however, the appropriate extent remains a subject of debate. In suitable tumors, superficial parotidectomy (SP) may be substituted for less invasive partial superficial parotidectomy (PSP) (I C). This systematic review analyzed the available literature, comparing PSP and SP with regards to several postoperative outcome parameters (O). MATERIALS AND METHODS: Established medical databanks were screened for articles evaluating outcomes of PSP compared with SP, published between 1955 and 2019. These data were assessed by pooled risk and odds ratios via meta-analysis. RESULTS: 11 studies with 1272 patients were included. There was no significant difference in tumor recurrence between PSP and SP (primary outcome). Furthermore, no differences in the occurrence of permanent facial nerve paralysis (FNP), salivary fistula, great auricular nerve analgesia, or hematoma were observed between the groups. However, PSP displayed significantly reduced rates of transient FNP, Frey's syndrome, scar deformity, and xerostomia, as well as shorter surgical time, compared with SP (secondary outcomes). CONCLUSION: Based on these data, PSP can be recommended as a surgical technique for the treatment of superficially located, small, benign parotid tumors.


Assuntos
Neoplasias Parotídeas , Sudorese Gustativa , Humanos , Glândula Parótida , Complicações Pós-Operatórias , Estudos Retrospectivos
8.
Toxicon ; 182: 30-33, 2020 Jul 30.
Artigo em Inglês | MEDLINE | ID: mdl-32387184

RESUMO

The secreted poisonin bufonids (Anura: Bufonidae) include proteins, biogenic amines, toxic bufadienolides and alkaloids. The chemical composition of the methanolic extract of parotoid gland secretions by the Amazonian toad Rhinella margaritifera was evaluated in a UFLC-DAD-micrOTOF system. Of the twenty three compounds found in the methanolic extract, eighteen were identified by the mass/charge ratio as: five arginine diacids, six bufagenins (telocinobufagin, marinobufagin, bufotalin, cinobufotalin, bufalin and cinobufagin), six bufotoxins, and an alkaloid (dehydrobufotenin).


Assuntos
Bufanolídeos/química , Bufonidae , Glândula Parótida/metabolismo , Venenos de Anfíbios , Animais , Linhagem Celular Tumoral , Cromatografia Líquida de Alta Pressão
9.
Indian J Dent Res ; 31(1): 164-166, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32246703

RESUMO

Arteriovenous malformation (AVM) of the parotid gland is an extremely rare condition with very few cases reported in the literature. Majority of the swellings in the parotid region are usually due to sialadenitis, tumour etc., therefore making the initial diagnosis of vascular malformation may be difficult if there is no evident Turkey-wattle sign. Here, we present a case of AVM of parotid gland with its clinical features, radiographic features and its management. The lesion, being a high flow one, was managed with sclerosing agents to regress its size.


Assuntos
Malformações Arteriovenosas , Malformações Vasculares , Humanos , Glândula Parótida , Turquia
11.
Ann R Coll Surg Engl ; 102(7): e161-e166, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32347741

RESUMO

Head and neck tumour thrombus is a rare pathology and at present there are no reported cases of tumour thrombus secondary to acinic cell carcinoma of the parotid gland. We report a case of an 81-year-old man with an acinic cell carcinoma of the left parotid and an intravenous tumour thrombus extending from the retromandibular vein into the internal jugular vein. This case also highlights the importance of radiological imaging in the management of tumour thrombus.


Assuntos
Carcinoma de Células Acinares/complicações , Glândula Parótida/diagnóstico por imagem , Neoplasias Parotídeas/complicações , Trombose Venosa/etiologia , Idoso de 80 Anos ou mais , Carcinoma de Células Acinares/diagnóstico , Humanos , Veias Jugulares/diagnóstico por imagem , Masculino , Procedimentos Cirúrgicos Otorrinolaringológicos/métodos , Neoplasias Parotídeas/diagnóstico , Flebografia , Doenças Raras , Tomografia Computadorizada por Raios X , Trombose Venosa/diagnóstico
13.
J Craniofac Surg ; 31(3): 642-647, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32282663

RESUMO

BACKGROUND: Utilizing the concept of Barton's high superficial musculo-aponeurotic system (SMAS) technique, the authors performed the more extensive skin-attached SMAS/platysma flap elevation and the 'dual deep tissue support' technique involving multiple plications of the parotid-masseteric fascia, repositioning of the SMAS, and platysma muscle. Our aim was to demonstrate a specific surgical procedure for face and neck lift and offer its pitfalls and outcomes. METHODS: This study included 83 patients aged between 54 and 73 years. The pre- and 10-month postoperative photographs of all patients were used to assess the extent of the nasolabial folds, the labiomental fold, and the cervical band (platysma band). Each patient's subjective aesthetic satisfaction was also evaluated. RESULTS: At 3 and 6 months postoperatively, 94% (n = 3) of patients achieved "minimal" and "mild" nasolabial folds. Most patients (89.1%, n = 74) were satisfied with their outcomes. Two minor hematomas (2.4%) occurred locally over the temporal or retro-auricular area. No incidence of skin flap necrosis or permanent facial nerve injury was observed. CONCLUSIONS: Our extensive skin-attached SMAS/platysma flap elevation with dual deep tissue support, both by multiple parotic masseteric plication and SMAS/platysma repositioning, provided not only the definite lifting effect in the immediate postoperative period, but also resulted in long-lasting lifting outcomes without remission. LEVEL OF EVIDENCE: IV.


Assuntos
Ritidoplastia/métodos , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sulco Nasogeniano/cirurgia , Pescoço/cirurgia , Glândula Parótida/cirurgia , Satisfação do Paciente , Complicações Pós-Operatórias , Sistema Musculoaponeurótico Superficial/cirurgia , Retalhos Cirúrgicos/cirurgia
14.
Artigo em Inglês | MEDLINE | ID: mdl-32327323

RESUMO

OBJECTIVE: The aim of this study was to investigate the prognostic value of evaluation of intraparotid and cervical lymph node metastases in primary parotid cancer. STUDY DESIGN: A retrospective medical chart review and histopathologic evaluation of all patients surgically treated for primary parotid cancer during the period 1993 to 2010 was performed. The presence and ratio of intraparotid and cervical lymph node metastases were assessed and determined as primary predictor variables. Overall survival (OS) and disease-free survival (DFS) were defined as primary outcome variables. RESULTS: In total, 50 patients were included. The presence of pathologic cervical lymph nodes (P = .005) and a high cervical lymph node ratio (LNR) (P = .0001) had a significant association with worse OS. Worse DFS was found in patients with a high cervical LNR (P = .001) and intraparotid lymph node metastases (P = .029). In high-grade carcinoma, a high LNR showed worse DFS (P = .05). A high cervical LNR (P = .012) and resection margin status (P = .002) were identified as independent prognostic markers for OS and the presence of intraparotid lymph nodes for DSS (P = .05). CONCLUSIONS: Evaluation of patterns of lymph node metastases provides additional prognostic value in patients with primary parotid gland cancer.


Assuntos
Excisão de Linfonodo , Neoplasias Parotídeas , Humanos , Linfonodos , Estadiamento de Neoplasias , Glândula Parótida , Prognóstico , Estudos Retrospectivos
15.
Georgian Med News ; (299): 13-21, 2020 Feb.
Artigo em Russo | MEDLINE | ID: mdl-32242837

RESUMO

The purpose of the research is to clarify the diagnostic value of the ultrasound examination method in the diagnosis of tumors of the parotid gland. A clinical examination of 389 patients with tumors and tumor-like neoplasms of the parotid gland was performed. Based on the clinical examination of patients with tumors of the parotid glands, it can be concluded that the ultrasound examination method is highly informative and allows you to study in detail the structure of the tumor and the surrounding soft tissues, which significantly increases its diagnostic value. The use of a comprehensive diagnostic examination (ultrasound, CT, MRI) of patients with tumors of the parotid glands made it possible to increase the accuracy of the differential diagnosis of tumors to 98%.


Assuntos
Glândula Parótida/diagnóstico por imagem , Neoplasias Parotídeas/diagnóstico por imagem , Neoplasias Parotídeas/patologia , Glândulas Salivares/diagnóstico por imagem , Ultrassonografia , Diagnóstico Diferencial , Humanos , Imagem por Ressonância Magnética , Tomografia Computadorizada por Raios X
16.
Otolaryngol Head Neck Surg ; 162(6): 818-825, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32286187

RESUMO

OBJECTIVE: Parotidectomies are commonly performed procedures by head and neck surgeons. Although parotidectomies are historically inpatient procedures, recent observational evidence has highlighted the potential for parotidectomies to be performed on an outpatient basis. This systematic review and meta-analysis sought to compare complications and unplanned health care utilization between patients undergoing outpatient versus inpatient parotidectomy. DATA SOURCES: A systematic review was performed using MEDLINE, EMBASE, and the Cochrane Library. REVIEW METHODS: Studies comparing the outcomes of outpatient parotidectomy with those of inpatient parotidectomy were included. Risk of bias was assessed using the Newcastle-Ottawa Scale. Postoperative complications (hematoma, facial nerve dysfunction, seroma, fistulisation, Frey syndrome, and wound infection) and rates of 30-day readmission, reintervention, and emergency department presentation were compared. RESULTS: We screened 1018 nonduplicate articles to include 5 studies, all of which were retrospective cohort studies. There were fewer complications found in the outpatient group (relative risk = 0.61, 95% confidence interval: 0.40-0.93). Outpatient procedures were more commonly performed on patients who lived close to the hospital, had fewer comorbidities, and had less extensive planned surgery. CONCLUSION: Outpatient parotidectomy appears safe in select patients with outcomes comparable with inpatient surgery. However, evidence overall is of low quality, and further work is needed to delineate a satisfactory set of criteria for appropriate patient identification.


Assuntos
Procedimentos Cirúrgicos Ambulatórios/métodos , Serviço Hospitalar de Emergência , Pacientes Internados , Pacientes Ambulatoriais , Doenças Parotídeas/cirurgia , Glândula Parótida/cirurgia , Humanos
17.
Oral Surg Oral Med Oral Pathol Oral Radiol ; 129(5): e243-e248, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32111580

RESUMO

OBJECTIVE: The aim of this study was to assess the existence of ductal changes in diabetics using sialendoscopy. STUDY DESIGN: Twenty patients and 10 volunteers received bilateral parotid diagnostic sialendoscopy. Group I included 10 patients with uncontrolled diabetes (UCD); group II, 10 patients with controlled diabetes (CD); and group III, 10 nondiabetic controls (CG). Expected ductal changes were examined in 3 proposed distinct zones. A χ2 test was used to compare groups. RESULTS: Ductal pathologic conditions were significantly higher in diabetic patients in all zones. Abnormalities were classified as stenosis, hyperemia, or others. In UCD, stenosis percentage was 55%, 90%, and 100% in zones 1, 2, and 3, respectively, compared with 30%, 40%, and 55% in CD and 5%, 5%, and 0% in CG (P < .01). Hyperemic changes in UCD were 90%, 90%, and 40% compared with 50%, 50%, and 20% in CD (P < .01) and 0% in CG. Comparing zones in UCD and CD indicated that stenosis increased significantly toward the proximal end, whereas hyperemia prevailed toward the distal end. CONCLUSIONS: Significant ductal abnormalities were detected in the parotids of UCD and CD patients compared with CG. Ductal changes were higher in UCD compared with CD.


Assuntos
Diabetes Mellitus , Endoscopia , Constrição Patológica , Humanos , Glândula Parótida , Ductos Salivares
18.
Otolaryngol Head Neck Surg ; 163(2): 344-347, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32204639

RESUMO

We present the development and validation of a low-cost novel model for training of parotid surgery. The model consists of a 3-dimensionally printed skeleton, silicone-based soft tissue, and facial nerve replicated with copper wire, circuited to indicate contact with instruments. The face validity of the simulator was evaluated with a 21-item 5-point Likert survey. Content validity was evaluated through a survey completed by the trainees after their first live parotidectomy following the simulation. Twelve residents and 6 faculty completed the simulated procedure of superficial parotidectomy after watching a video demonstration. Completion of 16 surgical steps evaluated by this model was graded for each participant. The mean ± SD total assessment score for faculty was 15.83 ± 0.41, as compared with 13.33 ± 2.06 for residents (P = .0081). The simulator as a training tool was well received by both faculty and residents (5 vs 4, P = .0206). Participants strongly agreed that junior residents would benefits from use of the model.


Assuntos
Dissecação/educação , Nervo Facial/cirurgia , Procedimentos Neurocirúrgicos/educação , Procedimentos Cirúrgicos Otorrinolaringológicos/educação , Glândula Parótida/cirurgia , Treinamento por Simulação , Humanos , Modelos Anatômicos , Impressão Tridimensional , Autorrelato
19.
Ann R Coll Surg Engl ; 102(5): 340-342, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32159383

RESUMO

INTRODUCTION: Fine-needle aspiration cytology (FNAC) is an important diagnostic tool used preoperatively for the diagnosis of parotid lump. Mucoepidermoid carcinoma comprises 5-10% of all salivary gland tumours. It poses a diagnostic challenge on FNAC with high false negative rate. The objective of this study was to evaluate the discordance between cytology/FNAC and histopathology in patients with mucoepidermoid carcinoma. MATERIAL AND METHODS: A cross-sectional study was conducted from 1 January 2010 to 31 December 2014. Patients aged 18 years and above with FNAC or histopathology suggestive of mucoepidermoid carcinoma were identified. FNAC when compared with histology (gold standard) was classified into true positive (presence of mucoepidermoid carcinoma correctly diagnosed on FNAC), true negative (absence of mucoepidermoid carcinoma correctly diagnosed on FNAC), false positive (FNAC incorrectly diagnosed mucoepidermoid carcinoma), false negative (FNAC failed to diagnose mucoepidermoid carcinoma). RESULTS: A total of 16 patients fulfilled our eligibility criteria. Seven cytological samples were true positive (ie correctly diagnosed mucoepidermoid carcinoma by FNAC), eight cytological specimens were false negative (ie could not pick up mucoepidermoid carcinoma on FNAC). One case was false positive on cytology (ie diagnosed mucoepidermoid carcinoma on FNAC but was reported to be Warthin's tumour on histopathology) and none were true negative. CONCLUSION: FNAC is not reliable for diagnosis of mucoepidermoid carcinoma. More than 50% of our patients had discordant results between cytology and histology. We recommend a high index of suspicion for mucoepidermoid carcinoma given the poor yield of cytology.


Assuntos
Biópsia por Agulha Fina/normas , Carcinoma Mucoepidermoide/diagnóstico , Glândula Parótida/patologia , Neoplasias Parotídeas/diagnóstico , Adolescente , Adulto , Idoso , Biópsia por Agulha Fina/estatística & dados numéricos , Carcinoma Mucoepidermoide/patologia , Carcinoma Mucoepidermoide/cirurgia , Estudos Transversais , Reações Falso-Negativas , Reações Falso-Positivas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Glândula Parótida/cirurgia , Neoplasias Parotídeas/patologia , Neoplasias Parotídeas/cirurgia , Período Pós-Operatório , Período Pré-Operatório , Reprodutibilidade dos Testes , Adulto Jovem
20.
J Plast Reconstr Aesthet Surg ; 73(5): 921-926, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32165143

RESUMO

OBJECTIVE: The aim of this study is to evaluate the feasibility and aesthetic results when comparing two cosmetic approaches that were employed in parotidectomy according to the tumour location with the traditional Blair approach. DESIGN: Retrospective study. SETTING: Tertiary Referral Centre. PATIENTS: Seventy-six patients were included in the study. RESULTS: The degree of satisfaction with the cosmetic incision approach was significantly higher than that with the traditional Blair approach. The incidence of transient facial paralysis and salivary fistula were not statistically significant when compared with those in the traditional incision in 6-month follow-up post-operatively. DISCUSSION: Conventional parotidectomy using the traditional Blair incision (or its modification) usually leaves a visible scar in this region, which can have major adverse impacts on the social or psychological well-being of an individual. To achieve better aesthetic results, according to the location of the benign parotid tumour, two formal cosmetic approach incisions could be performed in parotidectomy, which was superior to the traditional Blair incision. The authors propose that these two cosmetic approaches for parotidectomy can be both technically feasible and safe.


Assuntos
Cicatriz/prevenção & controle , Estética , Neoplasias Parotídeas/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Glândula Parótida/cirurgia , Satisfação do Paciente , Estudos Retrospectivos
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