Hidden Scar Dissection of Benign Parotid Gland Tumors via a V-Shaped Minimal Facelift Incision.

[OBJECTIVES] The purpose of this article was to propose a V-shaped minimal facelift incision (FLI) and analyze its efficacy for improving the esthetic outcomes of parotid gland tumors.

[METHODS] A prospective, nonrandomized study was performed. Forty-six patients with category I benign parotid tumors as to Quer classification (3 cm or less and located superficially and/or peripherally in the gland) were enrolled. The 46 patients who underwent dissection of parotid gland tumors were divided into 2 groups: minimal FLI (group 1) and modified Blair incision (MBI, group 2). The modified minimal FLI was performed via V-shaped preauricular and retroauricular incision with no extension to the hair bearing skin. The operation variables and the cosmetic satisfaction of the patients in each group were compared.

[RESULTS] Twenty-three patients underwent the minimal FLI approach and 23 underwent the conventional modified Blair incision approach. No recurrence developed in any of the patients at the follow-up for an average of 18.9 ± 2.7 months. Among the operation factors, the authors observed no other significant differences in the size of tumor, operative time, or completeness of resection (P > 0.05). Moreover, facial palsy and Frey syndrome also did not differ between the 2 groups (P > 0.05). However, cosmetic satisfaction evaluated with a graded scale showed much better results in the V-shaped minimal FLI approach group (P < 0.001).

[CONCLUSION] V-shaped minimal FLI with excellent cosmetic outcomes could be used as a safe and preferable approach for parotidectomy, especially for the more conservative extracapsular dissection in small tumors.