Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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A better facial contour accomplished by parotid duct preserving superficial parotidectomy

  • Park, Jun Ho (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Choi, Chang Yong (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Wee, Syeo Young (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital) ;
  • Lee, Young Man (Department of Plastic and Reconstructive Surgery, Soonchunhyang University Gumi Hospital)
  • Received : 2017.11.14
  • Accepted : 2018.02.21
  • Published : 2018.03.31
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Abstract

Depression of facial contour after parotidectomy is still challenging to many of surgeons. A 68-year-old man presented with a 4-month history of a painless swelling in both parotid area. The mass was multiple and fixed at the parotid region. We conducted a parotid duct preserving bilateral superficial parotidectomy by one-stage operation to remove the multiple tumors. A lazy S incision was made in both preauricular area and the peripheral branches of the facial nerve were identified using surgical landmark. After dissecting the branches of the facial nerve and parotid duct, main parotid duct was preserved but only small fine ductules from the superficial lobe were ligated. Parotid gland was excised from its anterior aspect with about 1 cm of normal parotid tissue margin. The patient was followed up for 6 years to evaluate postoperative parotid gland function and the computed tomography (CT) was taken. Patient was satisfied with no significant complication such as sunken changes in facial contour, facial nerve function. As far as we know, it is the first study to compare long-term soft tissue contours of soft tissue of duct preserving superficial parotidectomy with duct sacrificing superficial parotidectomy by means of CT findings.

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References

  1. Gooden EA, Gullane PJ, Irish J, Katz M, Carroll C. Role of the sternocleidomastoid muscle flap preventing Frey's syndrome and maintaining facial contour following superficial parotidectomy. J Otolaryngol 2001;30:98-101. https://doi.org/10.2310/7070.2001.19876
  2. Ogreden S, Ruzgar S, Alimoglu Y, Eroglu S, Taskin U, Oktay MF. Comparison of Frey syndrome rates following superficial parotidectomy and partial superficial parotidectomy for pleomorphic adenoma. J Craniofac Surg 2016;27:e469-71. https://doi.org/10.1097/SCS.0000000000002746
  3. Papadogeorgakis N, Skouteris CA, Mylonas AI, Angelopoulos AP. Superficial parotidectomy: technical modifications based on tumour characteristics. J Craniomaxillofac Surg 2004;32:350-3. https://doi.org/10.1016/j.jcms.2004.05.004
  4. Wennmo C, Spandow O, Emgard P, Krouthen B. Pleomorphic adenomas of the parotid gland: superficial parotidectomy or limited excision? J Laryngol Otol 1988;102:603-5. https://doi.org/10.1017/S0022215100105845
  5. Lam KH, Wei WI, Lau WF. Tumours of the parotid: the value of clinical assessment. Aust N Z J Surg 1986;56:325-9. https://doi.org/10.1111/j.1445-2197.1986.tb06157.x
  6. Richards AT, Digges N, Norton NS, Quinn TH, Say P, Galer C, et al. Surgical anatomy of the parotid duct with emphasis on the major tributaries forming the duct and the relationship of the facial nerve to the duct. Clin Anat 2004;17:463-7. https://doi.org/10.1002/ca.20011
  7. Davis RA, Anson BJ, Budinger JM, Kurth LR. Surgical anatomy of the facial nerve and parotid gland based upon a study of 350 cervicofacial halves. Surg Gynecol Obstet 1956;102:385-412.
  8. Yoo YM, Lee JS, Park MC, Kim C, Seo SJ, Lee IJ. Dermofat graft after superficial parotidectomy via a modified face-lift incision to prevent Frey syndrome and depressed deformity. J Craniofac Surg 2011;22:1021-3. https://doi.org/10.1097/SCS.0b013e3182101655
  9. Chang JW, Leem SS, Choi HJ, Lee JH. Modified functional superficial parotidectomy with ligation of the major branch of the parotid duct extending to the superficial lobe. Ann Plast Surg 2017;78:507-10. https://doi.org/10.1097/SAP.0000000000000885