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Related Experiment Video

Updated: Sep 12, 2025

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Patient and Surgeon-Reported Satisfaction With Reconstruction Following Superficial Parotidectomy: A Systematic

Jacob S Brady1, G Nina Lu2, Peter M Vila3

  • 1Department of Otolaryngology-Head and Neck Surgery Case Western Reserve University Cleveland Ohio USA.

Laryngoscope Investigative Otolaryngology
|August 6, 2025
PubMed
Summary

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Patient satisfaction after superficial parotidectomy reconstruction varies by method. Sternocleidomastoid flap and superficial muscular aponeurotic system flap reconstruction show high overall satisfaction, but free fat graft and SCM flaps yield better symmetry satisfaction.

Area of Science:

  • Otolaryngology
  • Plastic Surgery
  • Oncology

Background:

  • Superficial parotidectomy is a surgical procedure to remove tumors from the parotid gland.
  • Reconstruction is often necessary to restore facial appearance and function.
  • Patient-reported outcomes are crucial for evaluating reconstructive success.

Purpose of the Study:

  • To assess current methods for collecting patient and surgeon-reported outcomes after superficial parotidectomy reconstruction.
  • To determine which reconstructive method yields the highest patient satisfaction.

Main Methods:

  • A systematic review and meta-analysis following PRISMA guidelines.
  • Inclusion of 17 peer-reviewed articles with 898 patients.
  • Mathematical harmonization of outcome data for statistical analysis using random effects meta-analysis.
Keywords:
parotidectomypatient‐reported outcomesreconstructionsurgeon‐reported outcomessystematic review and meta‐analysis

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Main Results:

  • No standardized instruments were used for patient satisfaction data collection.
  • Overall patient satisfaction was 93% (no reconstruction), 97% (SCM flap), and 100% (SMAS flap).
  • Symmetry satisfaction was 41% (no reconstruction), 65% (SMAS flap), 95% (free fat graft), and 96% (SCM flap).

Conclusions:

  • Reporting of patient satisfaction after parotidectomy reconstruction is heterogeneous.
  • Reconstruction generally improves satisfaction and symmetry perception.
  • Validated instruments are needed to optimize patient-centered outcomes in facial reconstruction.