European Archives of Oto-Rhino-Laryngology

, Volume 273, Issue 10, pp 3269–3275 | Cite as

Modified facelift incision for partial parotidectomy versus bayonet-shaped incision: a comparison using visual analog scale

  • Olcay Cem Bulut
  • Peter Plinkert
  • Philippe A. Federspil
Head and Neck


The aim of this study is to show differences between a modified facelift incision (MFI) for partial parotidectomy versus a bayonet-shaped incision (BSI). 24 patients presenting with a parotid tumor were surgically treated with a partial parotidectomy using a MFI. We generated a “matched pair control group” regarding age, tumor size and gender, who received a BSI. A questionnaire was sent to all patients and relevant data reviewed. The cosmetic satisfaction on a VAS with a MFI was 9.74 (±0.47) compared to BSI with 7.63 (±2.44, p = 0.004). The scoring in the two subgroups “visible scar” and “people noticed my surgery” was significantly better in the MFI group The postoperative skin numbness, skin depression, facial nerve function postoperatively showed no statistical differences. The MFI for parotid tumors has a better outcome than the BSI regarding cosmetic satisfaction and visible scarring.


Modified facelift incision Visual analog scale Parotidectomy Retroauricular hairline incision Parotid gland 


Compliance with ethical standards

Conflict of interest

The authors have no other funding, financial relationships, or conflicts of interest to disclose.


  1. 1.
    Baumann I et al (2009) Development and validation of the Parotidectomy Outcome Inventory 8 (POI-8). Measurement of quality of life after parotidectomy in benign diseases. HNO 57(9):884–888CrossRefPubMedGoogle Scholar
  2. 2.
    Jost G, Legent F, Baudelot S (1968) Filling of residual depressions after parotidectomy by a sterno-cleido-mastoid flap. Ann Chir Plast 13(3):187–191PubMedGoogle Scholar
  3. 3.
    Jost G, Guenon P, Gentil S (1999) Parotidectomy: a plastic approach. Aesthet Plast Surg 23(1):1–4CrossRefGoogle Scholar
  4. 4.
    Appiani E, Delfino MC (1984) Plastic incisions for facial and neck tumors. Ann Plast Surg 13(4):335–352CrossRefPubMedGoogle Scholar
  5. 5.
    Meningaud JP, Bertolus C, Bertrand JC (2006) Parotidectomy: assessment of a surgical technique including facelift incision and SMAS advancement. J Craniomaxillofac Surg 34(1):34–37CrossRefPubMedGoogle Scholar
  6. 6.
    Terris DJ, Tuffo KM, Fee WE Jr (1994) Modified facelift incision for parotidectomy. J Laryngol Otol 108(7):574–578CrossRefPubMedGoogle Scholar
  7. 7.
    Grover N, D’Souza A (2013) Facelift approach for parotidectomy: an evolving aesthetic technique. Otolaryngol Head Neck Surg 148(4):548–556CrossRefPubMedGoogle Scholar
  8. 8.
    Bianchi B et al (2011) Improving esthetic results in benign parotid surgery: statistical evaluation of facelift approach, sternocleidomastoid flap, and superficial musculoaponeurotic system flap application. J Oral Maxillofac Surg 69(4):1235–1241CrossRefPubMedGoogle Scholar
  9. 9.
    Honig JF (2004) Facelift approach with a hybrid SMAS rotation advancement flap in parotidectomy for prevention of scars and contour deficiency affecting the neck and sweat secretion of the cheek. J Craniofac Surg 15(5):797–803CrossRefPubMedGoogle Scholar
  10. 10.
    Lohuis PJ et al (2009) Superficial parotidectomy via facelift incision. Ann Otol Rhinol Laryngol 118(4):276–280CrossRefPubMedGoogle Scholar
  11. 11.
    Amin A et al (2011) Parotidectomy for benign parotid tumors: an aesthetic approach. J Egypt Natl Canc Inst 23(2):67–72CrossRefPubMedGoogle Scholar
  12. 12.
    Lin TC et al (2011) Intra-auricular modification of facelift incision with sternocleidomastoid flap–a cosmetic approach for parotidectomy: how we do it. Clin Otolaryngol 36(4):375–379CrossRefPubMedGoogle Scholar
  13. 13.
    To EW, Pang PC, Chu GM (2000) The use of modified rhytidectomy for parotidectomy. Br J Plast Surg 53(1):80CrossRefPubMedGoogle Scholar
  14. 14.
    Lee SY et al (2011) The extended indication of parotidectomy using the modified facelift incision in benign lesions: retrospective analysis of a single institution. World J Surg 35(10):2228–2237CrossRefPubMedGoogle Scholar
  15. 15.
    Wasson J et al (2010) Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison. Ann R Coll Surg Engl 92(1):40–43CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Zhi K et al (2011) Face-lift incision combined with sternomastoid muscular flap in parotidectomy. Aesthet Plast Surg 35(4):558–562CrossRefGoogle Scholar
  17. 17.
    Iro H et al (2013) Follow-up of parotid pleomorphic adenomas treated by extracapsular dissection. Head Neck 35(6):788–793CrossRefPubMedGoogle Scholar
  18. 18.
    Mantsopoulos K et al (2015) Evolution and changing trends in surgery for benign parotid tumors. Laryngoscope 125(1):122–127CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Olcay Cem Bulut
    • 1
  • Peter Plinkert
    • 1
  • Philippe A. Federspil
    • 1
  1. 1.Department of OtolaryngologyUniversity Hospital HeidelbergHeidelbergGermany

Personalised recommendations