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Incisions for Parotidectomy: A Narrative Review
1From the Department of Surgical Disciplines, All India Institute of Medical Sciences (AIIMS), New Delhi, India.
Annals of Plastic Surgery
|February 24, 2021
Summary
Surgeons are exploring new parotidectomy incisions for better cosmetic results. However, more research is needed to confirm their safety and effectiveness before widespread adoption.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Plastic Surgery
Background:
- Classical parotidectomy incisions often leave noticeable scars.
- Patient demand for improved cosmetic outcomes has driven innovation in surgical approaches.
Purpose of the Study:
- To review and analyze various modified parotidectomy incisions introduced over the past two decades.
- To assess the cosmetic benefits and clinical feasibility of these newer approaches.
Main Methods:
- Comprehensive literature review of modified parotidectomy incisions.
- Analysis of reported techniques including retroauricular hairline, Arden, trichophytic, periauricular, and mini Blair incisions.
Main Results:
- Numerous modified incisions offer potential cosmetic advantages over traditional methods.
- While reported as safe and feasible, robust clinical evidence is currently lacking for widespread recommendation.
Conclusions:
- Modified parotidectomy incisions show promise for cosmetic improvement.
- Further well-designed studies are essential to validate these techniques for broader clinical use.

