Face-Lift Incision Combined With Sternomastoid Muscular Flap in Parotidectomy
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To improve the aesthetic outcome of a traditional parotidectomy, this study used a face-lift incision combined with a sternomastoid muscular (SCM) flap and compared the classical method with these techniques from the patient’s perspective.
Between 2005 and 2007, 38 patients with benign parotid disease underwent surgery. The patients were retrospectively assigned to two groups according to the surgical technique used. Parotidectomy was performed using a combined face-lift incision and SCM flap for 18 patients (modified group). Another 20 patients received classical parotidectomy (Blair incision without reconstruction) (classical group). The patients were followed up every 3 months for 3 years. During the follow-up period, the patients were specifically asked about their satisfaction with their postoperative appearance.
During the follow-up period, all the patients in the group that had the face-lift incision and SCM flap were satisfied with the aesthetic outcome, and the depression deformity was considerably less. Nine patients in the classical group were not satisfied with the aesthetic outcome.
The face-lift incision and SCM flap technique can be performed safely with satisfactory cosmetic and functional results. It results in improved patient satisfaction without additional risk of complications.
KeywordsHead and neck neoplasms Neck muscles Parotid gland Rhytidoplasty and face
We thank Dr. Dale A. Baur at the Case Western Reserve University, Divisions of Oral & Maxillofacial Surgery; Professor Daqing Li at the University of Pennsylvania School of Medicine, Department of Otorhinolaryngology–Head & Neck Surgery; Professor Yuming Wen and Longjiang Li in the Department of Oral and Maxillofacial Surgery, West China College of Stomatology, Sichuan University; and Professors Yincheng Zhang, Sanhu He, Chenqun Hou,Yixi Wen, Gang Li, Jiawei Li, Dong Ma, Zhanping Ren, and Jinfeng Li in the Department of Oral and Maxillofacial Surgery, Stomatological Hospital, College of Medicine, Xi’an Jiaotong University for their assistance in the preparation of this article. This study was supported by the Xi’an Science and Technology Program (SF09030, SF1023), Science and Technology Program in Shaanxi Province of China (2009K17-03), an Innovation grant of College of Medicine, and funds of Xi’an Jiaotong University (xjj20100216) . The study also was supported by the Xi’an Science and Technology Program (SF08008-).
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.Gutierrez A (1923) Tumores de la glandula parotida: Su extripacion. Rev Cirugia 3:23–27Google Scholar
- 10.Edward WH, Pang PCW, Chu GM (2000) The use of modified rhytidectomy for parotidectomy. Br J Plast Surg 53:80Google Scholar
- 14.Blair VP (1918) Surgery and diseases of the mouth and jaws, 3rd edn. C. V. Mosby, St Louis, MO, pp 492–523Google Scholar
- 18.Timew GC (1994) Sternocleidomastoid muscle flaps following parotidectomy. Br J Oral Maxillofac Surg 32:262Google Scholar
- 20.Edward WH (2002) Sternomastoid muscle flap for parotidectomy: the pros and cons. Br J Plast Surg 55:88–89Google Scholar
- 21.Bassoe P (1932) The auriculo-temporal syndrome and other vasomotor disturbances about the head. Med Clin North Am 16:405–407Google Scholar
- 22.André-Thomas A (1927) Le double reflexe vaso-dilatateur et sudora de la face conse˙cutive aux blessures de la loge parotidienne: Les parareflexes. Rev Neurol 1:447–460Google Scholar