Endoscope-assisted transoral accessory parotid mass excision: Multicenter prospective observational study

Area of Science:

• Otolaryngology
• Surgical Oncology
• Minimally Invasive Surgery

Background:

• Transoral surgery is increasingly preferred for its aesthetic advantage of avoiding external scars.
• Accessory parotid gland masses require surgical excision, with traditional approaches potentially leaving visible scars.

Purpose of the Study:

• To assess the technical feasibility and safety of endoscope-assisted transoral accessory parotid mass excision.
• To compare outcomes of this minimally invasive approach with conventional parotidectomy.

Main Methods:

• A 7-year, prospective, multicenter observational study.
• Evaluation of clinical outcomes and complications in patients undergoing endoscope-assisted transoral accessory parotid mass excision versus conventional parotidectomy.

Main Results:

• Twenty patients underwent the transoral approach, and 22 had conventional excisions.
• The transoral approach demonstrated significantly shorter operation times (P = 0.001) and superior cosmetic satisfaction (P < 0.001).
• No significant demographic differences were noted between the groups.

Conclusions:

• Endoscope-assisted transoral accessory parotid mass excision is a safe and effective procedure.
• This technique yields excellent cosmetic results for accessory parotid masses.