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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
Endoscope-assisted partial-superficial parotidectomy through two small skin incisions
Wei Sun1, Yao-Dong Xu, Yi-Qing Zheng
1Department of Otorhinolaryngology & Head and Neck Surgery, 2nd Affiliated Hospital of Sun Yat-Sen University, Guangzhou, PR China.
Acta Oto-Laryngologica
|November 20, 2009
Summary
Endoscope-assisted partial parotidectomy offers a feasible approach for benign superficial parotid tumors, yielding excellent cosmetic outcomes with minimal scarring. This minimally invasive technique demonstrates high patient satisfaction and no tumor recurrence in follow-up studies.
Area of Science:
- Otolaryngology
- Surgical Oncology
- Minimally Invasive Surgery
Background:
- Benign superficial parotid lobe tumors often require surgical excision.
- Traditional parotidectomy can result in noticeable scarring.
- Minimally invasive techniques aim to improve cosmetic outcomes and reduce surgical morbidity.
Purpose of the Study:
- To evaluate the feasibility of endoscope-assisted partial parotidectomy.
- To assess the efficacy of this technique for specific benign parotid tumors.
- To determine the cosmetic and functional outcomes of the procedure.
Main Methods:
- A cohort of 30 patients with benign superficial parotid lobe tumors (<30 mm) underwent the procedure.
- Endoscope-assisted partial-superficial parotidectomy was performed via a retrograde approach.
- Two small skin incisions were utilized for access.
Main Results:
- All 30 endoscopic procedures were successfully completed.
- Patients reported high satisfaction with the cosmetic results.
- Transient facial paresis occurred in 3 patients, resolving within 1-2 months.
- No tumor recurrence was observed during a 26-50 month follow-up period.
Conclusions:
- Endoscope-assisted partial-superficial parotidectomy is a viable treatment for select benign parotid tumors.
- The procedure offers superior cosmetic results due to small operative scars.
- This technique provides a safe and effective alternative for parotid tumor management.
