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Facelift Approach for Resecting Benign Upper Neck Masses.

Jun-Ook Park1

  • 1Department of Otolaryngology Head and Neck Surgery, Inje University College of Medicine, Haeundae Paik Hospital, Busan, South Korea. junook2000@paik.ac.kr.

World Journal of Surgery
|January 25, 2017
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Summary
This summary is machine-generated.

The facelift incision offers a feasible approach for benign upper neck lesion resection, providing excellent cosmetic outcomes and avoiding the need for endoscopic equipment. This method is suitable for most benign tumors in the upper neck.

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Area of Science:

  • Surgical Oncology
  • Head and Neck Surgery
  • Plastic Surgery

Background:

  • Evaluating the feasibility of non-magnified resection of benign upper neck lesions using the facelift incision.
  • Establishing indications for the facelift incision technique in neck mass removal.
  • Assessing the utility of the facelift incision without endoscopic assistance.

Purpose of the Study:

  • To determine the feasibility and efficacy of the facelift incision for resecting benign upper neck lesions.
  • To establish surgical indications for the facelift approach in managing upper neck masses.
  • To compare cosmetic outcomes and surgical complications between facelift and conventional incisions.

Main Methods:

  • Retrospective analysis of 86 patients undergoing surgery for upper neck masses.
  • Comparison of facelift incisions (41 patients) versus conventional transcervical incisions (45 patients).
  • Evaluation of surgical success, need for conversion, use of endoscopic devices, complications, and scar visibility.

Main Results:

  • All 86 operations were successful, with no conversions or need for endoscopic devices in the facelift group.
  • No major surgical complications occurred in either group; transient auricle sensory changes resolved within 2 months in 26% of the facelift group.
  • Facelift incisions resulted in invisible scars, while conventional incisions left noticeable scars in 91% of patients (p < 0.001).

Conclusions:

  • The facelift approach provides a direct, adequate workspace for open surgery of upper neck masses.
  • The facelift incision is suitable for resecting most benign tumors at levels II and III of the upper neck.
  • This technique offers superior cosmetic results compared to conventional transcervical incisions.