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PARTIAL SUPERFICIAL
PAROTIDECTOMY WITH FACELIFT
INCISION
Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD,
Maria...
Introduction
• Neoplasms of the parotid glands
account for about 2-3% of head and
neck tumors.
• Most tumors are benign an...
Introduction
• The surgical technique of superficial
parotidectomy via a facelift incision is
described.
Lohuis PJ et al ....
Objective
• To present the results of treatment
of benign parotid tumor with Partial
superficial parotidectomy with a
face...
Method• Retrospective analysis of patients with
benign parotid tumors who underwent to
Partial superficial parotidectomy w...
Method
Surgical
Technique
IPRAS 2013
Method
Surgical Technique
IPRAS 2013
• Incision is made behind the
tragus.
• Then extended distally
around the origin of t...
Results
• The series consisted of 19
patients, 9 women.
• The average age was 42 years
(range 17-56 years).
IPRAS 2013
Results
Distribution by histology
IPRAS 2013
Results
Suprafacial
(n=53)
Partial
suprafacial
w/facelift
(n=19)
p
Temporary facial
nerve palsy
28 (52.8%) 4 (21%) <0,05
D...
Discussion
• The application of techniques less
invasive such as partial suprafacial
parotidectomy allow low morbidity rat...
Discussion
• It can be offered as an alternative to a
group of patients who present with a
small, mobile tumor in the tail...
PARTIAL SUPERFICIAL
PAROTIDECTOMY WITH FACELIFT
INCISION
Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD,
Maria...
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PARTIAL SUPERFICIAL PAROTIDECTOMY WITH FACELIFT INCISION. IPRAS

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PARTIAL SUPERFICIAL PAROTIDECTOMY WITH FACELIFT INCISION. IPRAS

  1. 1. PARTIAL SUPERFICIAL PAROTIDECTOMY WITH FACELIFT INCISION Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD, Mariana Valenzuela MD, Raúl Martínez MD and Grace Tapia MD. Dr. Sotero del Río Hospital Chile IPRAS 2013
  2. 2. Introduction • Neoplasms of the parotid glands account for about 2-3% of head and neck tumors. • Most tumors are benign and treatment is superficial parotidectomy in most cases. • A prominent facial scar following parotid surgery can be distressing for the patient. Lin et al. / American Journal of Otolaryngology–Head and Neck Medicine and Surgery 29 (2008) 94–100 IPRAS 2013
  3. 3. Introduction • The surgical technique of superficial parotidectomy via a facelift incision is described. Lohuis PJ et al .Ann Otol Rhinol Laryngol. 2009 Apr;118(4):276-80. IPRAS 2013
  4. 4. Objective • To present the results of treatment of benign parotid tumor with Partial superficial parotidectomy with a facelift incision IPRAS 2013
  5. 5. Method• Retrospective analysis of patients with benign parotid tumors who underwent to Partial superficial parotidectomy with a facelift incision at our center from 2009 to 2012. • Medical record review • Clinical assessment IPRAS 2013
  6. 6. Method Surgical Technique IPRAS 2013
  7. 7. Method Surgical Technique IPRAS 2013 • Incision is made behind the tragus. • Then extended distally around the origin of the earlobe to the retroauricular fold. • At the level of the tragus the retroauricular incision is extended posteriorly and then curved in occipital direction into o just below the hairline.
  8. 8. Results • The series consisted of 19 patients, 9 women. • The average age was 42 years (range 17-56 years). IPRAS 2013
  9. 9. Results Distribution by histology IPRAS 2013
  10. 10. Results Suprafacial (n=53) Partial suprafacial w/facelift (n=19) p Temporary facial nerve palsy 28 (52.8%) 4 (21%) <0,05 Depression of the surgical bed 9 (17%) 0 <0,05 Periauricular dysesthesia 10 (18.8%) 2 (10.5%) N.S Frey syndrome 3 (5,7%) 0 N.S Dissatisfied with scar 2 (3,8%) 0 N.S Pain or periauricular discomfort 0 0 N.S Tumor recurrence 0 0 N.S Postoperative complication. Comparative analysis: Suprafacial vs parcial w/facelift IPRAS 2013
  11. 11. Discussion • The application of techniques less invasive such as partial suprafacial parotidectomy allow low morbidity rates and no difference in recurrence rate. • Facelift incision provides an adequate exposure of the parotid gland for partial superficial parotidectomy IPRAS 2013
  12. 12. Discussion • It can be offered as an alternative to a group of patients who present with a small, mobile tumor in the tail of the parotid gland. IPRAS 2013
  13. 13. PARTIAL SUPERFICIAL PAROTIDECTOMY WITH FACELIFT INCISION Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD, Mariana Valenzuela MD, Raúl Martínez MD and Grace Tapia MD. Dr. Sotero del Río Hospital Chile IPRAS 2013

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