Superficial musculoaponeurotic system amelioration of parotidectomy defects

Resection of the parotid area for tumor results in several deformities. In addition to the neck scar, there is a retromandibular and cheek depression. By using a rhytidectomy incision and advancement of the superficial musculoaponeurotic fascia, we have obtained excellent exposure for all parotid operations, including those for accessory parotid lobe lesions, and have corrected the resultant deformities initially or secondarily. This procedure has been used for superficial and deep lobe tumors, partial masseter muscle resection, and recurrent tumors without compromising any of the principles of parotid tumor resection. The approach has resulted in greater acceptance of the tumor surgery by patients and less dissatisfaction postoperatively.