Cervicomastoidfacial versus modified rhytidectomy incision for benign parotid tumors

Graciano, Agnaldo José; Chone, Carlos Takahiro; Fischer, Carlos Augusto

doi:10.5935/1808-8694.20130030

Cited by 9 publications

(11 citation statements)

References 14 publications

(20 reference statements)

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“…Salivary fistula was reported in 137 studies 6–10,12,14–16,18–24,27,28,30–34,36,38–40,43–45,47,49,51,52,55,56,58,62–65,75,76,79,84–87,89,91,93,97–99,101,103–109,112,114–119,124–127,129,131–133,136,138,139,141,144,148–150,153,154,156,164,166,170–215 reporting on 18,815 patients (Table I and Fig. 2D).…”

Section: Resultsmentioning

confidence: 99%

“…The pooled incidence of salivary fistula reported was 3.1% (95% CI: 2.6‐3.7), with a minimum of 0% and a maximum of 21.0%, indicating large heterogeneity among studies ( I 2 = 74.8%). Factors associated with an increased incidence of salivary fistula include implants (fibrin glue, 30 Gore‐Tex, 33 acellular dermal matrix 164,196 ), parotidectomy for sialadenitis, 63,132,186 less extensive parotidectomy, 112,198,200,212 SMAS dissection and lifting incision, with or without a sternocleidomastoid flap 28,99,104,188,202,205 . In several studies, no clear explanation could be found 47,105,182,200,209 …”

Section: Resultsmentioning

confidence: 99%

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Minor Parotidectomy Complications: A Systematic Review

et al. 2020

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Objectives To report descriptive statistics for minor parotidectomy complications. Methods A systematic review was performed, selecting 235 studies for analysis. The incidence of complications was tabulated, and descriptive statistics calculated. Outlier studies, 1 standard deviation above the mean, were reexamined to determine potential causal factors for each complication. All studies were examined for statistically significant differences for any potential causal factor. Results The pooled incidence of minor complications reported were hematoma 2.9% (95% confidence interval [CI]: 2.4‐3.5), wound infection 2.3% (95% CI: 1.8‐2.9), sialocele 4.5% (95% CI: 3.5‐5.7), salivary fistula 3.1% (95% CI: 2.6‐3.7), flap necrosis 1.7% (95% CI: 1.1‐2.5), scar issues 3.6% (95% CI: 2.4‐5.4), numbness 33.9% (95% CI: 25.6‐43.4), and deformity 11.8 (95% CI: 6.9‐19.5). Implants result in more wound complications, such as hematoma, sialocele, or salivary fistula. Sialocele and salivary fistula appear more frequently after less extensive parotid surgery, whereas hematoma, wound infections, flap necrosis, and aesthetic considerations are worse with more extensive resections. Conclusions Minor parotidectomy complications are more frequent than generally assumed and related to certain factors that should be investigated. Laryngoscope, 131:571–579, 2021

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Minor Parotidectomy Complications: A Systematic Review

et al. 2020

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“…The present study also showed that the parotid tumor size was smaller in the MFI group than in the MBI group. Although different medical facilities may have different protocols for choosing the incision type and comparable tumor sizes between the two incision groups have been reported 18 , 19 , the presented pooled data suggest that physicians seem to consider using the MFI for patients with smaller tumors. One of the included studies suggested that MFI is more suitable for tumors in the lower and posterior portions of the parotid gland 20 , while several authors indicated that MFI can be used in parotidectomy regardless of tumor location 17 , 19 .…”

Section: Discussionmentioning

confidence: 83%

“…The pooled results of five studies 14 , 16 , 18 – 20 showed no significant difference between the two groups in terms of the rate of salivary complications (RD = − 0.00; 95% CI − 0.05 to 0.05; I 2 = 0.00%) (Fig. 5 B).…”

Section: Resultsmentioning

confidence: 93%

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Systematic review and meta-analysis of modified facelift incision versus modified Blair incision in parotidectomy

Lee

Liao

Yang

et al. 2021

Sci Rep

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Surgical removal is the treatment of choice for many neoplasms of the parotid gland. This meta-analysis aimed to evaluate the differences between parotidectomy using a modified facelift incision (MFI) and parotidectomy using a modified Blair incision (MBI). A systematic search of the available literature in PubMed, Embase and the Cochrane Library was performed. Studies of adult patients who underwent open parotidectomy with presumed benign parotid neoplasms based on preoperative examinations were reviewed. The surgical outcomes of the MFI and MBI groups were collected. Intraoperative and postoperative parameters, including operative time, tumor size, cosmetic satisfaction, and incidences of facial palsy, Frey’s syndrome and salivary complications, were compared. Dichotomous data and continuous data were analyzed by calculating the risk difference (RD) and the mean difference (MD) with the 95% confidence interval (CI), respectively. Seven studies were included in the final analysis. The pooled analysis demonstrated that the cosmetic satisfaction score was significantly higher in the MFI group (MD = 1.66; 95% CI 0.87–2.46). The operative duration in the MFI group was significantly longer than that in the MBI group (MD = 0.07; 95% CI 0.00–0.14). The MFI group exhibited a smaller tumor size (MD = − 2.27; 95% CI − 4.25 to − 0.30) and a lower incidence of Frey’s syndrome (RD = − 0.18; 95% CI − 0.27 to − 0.10). The incidence of postoperative temporary facial palsy (RD = − 0.05; 95% CI − 0.12 to 0.03), permanent facial palsy (RD = − 0.01; 95% CI − 0.06 to 0.03) and salivary complications (RD = − 0.00; 95% CI − 0.05 to 0.05) was comparable between the two groups. Based on these results, MFI may be a feasible technique for improving the cosmetic results of patients who need parotidectomy when oncological safety can be ensured.

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Use of the facelift incision for excision of non-tuberculous mycobacterial lymphadenitis in children

Compton

Scott

2019

International Journal of Pediatric Otorhinolaryngology

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Cervicomastoidfacial versus modified rhytidectomy incision for benign parotid tumors

Abstract: Modified rhytidectomy incision has shown comparable complication rates to those of the classic approach and a lower incidence of immediate facial movement impairment.

Cited by 9 publications

References 14 publications

Minor Parotidectomy Complications: A Systematic Review

Minor Parotidectomy Complications: A Systematic Review

Systematic review and meta-analysis of modified facelift incision versus modified Blair incision in parotidectomy

Use of the facelift incision for excision of non-tuberculous mycobacterial lymphadenitis in children

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