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

Eur Arch Otorhinolaryngol. 2016 Oct;273(10):3269-75. doi: 10.1007/s00405-015-3878-0. Epub 2016 Jan 9.

Abstract

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.

Keywords: Modified facelift incision; Parotid gland; Parotidectomy; Retroauricular hairline incision; Visual analog scale.

Publication types

  • Comparative Study

MeSH terms

  • Adenoma* / pathology
  • Adenoma* / surgery
  • Adult
  • Cicatrix* / etiology
  • Cicatrix* / prevention & control
  • Cicatrix* / psychology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Outcome and Process Assessment, Health Care
  • Parotid Gland / pathology
  • Parotid Gland / surgery
  • Parotid Neoplasms* / pathology
  • Parotid Neoplasms* / surgery
  • Parotid Region / surgery
  • Patient Satisfaction
  • Postoperative Complications* / etiology
  • Postoperative Complications* / prevention & control
  • Postoperative Complications* / psychology
  • Research Design
  • Rhytidoplasty* / adverse effects
  • Rhytidoplasty* / methods
  • Visual Analog Scale