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Planning Minimal Access Incisions in Resectioning Benign Parotid Tumors
Boyu Guan1, Xuexin Tan, Yuexiao Li
1Department of Oral and Maxillofacial Surgery, School of Stomatology, China Medical University, Liaoning Provincial Key Laboratory of Oral Diseases, Shenyang, China.
Background:
Traditional parotid surgery leaves visible submaxillary cicatrices, unaesthetic results from incisions, and a high incidence of postoperative complications. This study aimed to examine the feasibility of newly designed incisions for the removal of benign parotid lesions.
Methods:
The authors randomly assigned patients (n = 48) with benign parotid lesions admitted to our department from November 2016 to April 2019. In the study group, an aesthetic incision was designed through a preoperative examination combined with a medical history and physical examination. Half of the patients (n = 24) underwent surgery with the new incision design, while the patients in the control group (n = 24) received conventional surgery. The therapeutic effects and outcomes of the two groups were compared.
Results:
The postoperative complication rate of the study group (n = 6) was significantly lower than that of the control group (n = 15). Compared to conventional surgery, patients who received the hidden incisions had less total drainage volume, decreased length of incision, and fewer days of postoperative hospitalization (P < 0.05). On an average follow-up of 20 months, no recurrence was found in any patient.
Conclusions:
Minimal access incisions, aided with loupe magnification, greatly improve the surgical safety, patient outcomes, and final scar appearance. The described technique is worth further study and utilization.
