Omega incision face-lift approach and SMAS rotation advancement flap in parotidectomy for prevention of contour deficiency and conspicuous scars affecting the neck

Minimal incision in parotidectomy

“…Numerous studies support the theory that the rhytidectomy incision provides sufficient exposition and visualization of the parotid gland without too conspicuous scarring 7 . The retroauricular region dissection is unnecessary owing to the elastic properties of the skin, so it is possible to reduce the incision with no extension into the scalp.…”

Minimal incision in parotidectomy

“…Numerous studies support the theory that the rhytidectomy incision provides sufficient exposition and visualization of the parotid gland without too conspicuous scarring 7 . The retroauricular region dissection is unnecessary owing to the elastic properties of the skin, so it is possible to reduce the incision with no extension into the scalp.…”

Patient and Surgeon‐Reported Satisfaction With Reconstruction Following Superficial Parotidectomy: A Systematic Review and Meta‐Analysis

“…[ 14 , 20 , 27 , 28 , 29 ]. Eight studies utilized forward‐direction Likert Scales (i.e., higher number equates to more positive outcome) with scales of 1–10, 0–10, 0–5, and 1–3 [ 15 , 18 , 22 , 23 , 24 , 25 , 26 , 30 ]. One study used a 1–0, reverse‐direction Likert Scale [ 16 ].…”

“…Therefore, patient selection for the various reconstruction groups was likely based on patient factors including lesion location, size, histology, individual anatomy, comorbidities, and surgeon preference. Furthermore, there will be some technique variability within a given reconstruction method: SCM flaps may be full or partial thickness and may also be superior or inferiorly based [ 14 , 15 , 21 , 25 , 26 , 27 , 28 ]; SMAS flaps may be harvested and inset using various methods [ 15 , 17 , 18 , 20 , 22 , 23 , 24 , 26 , 30 ]. However, we feel that comparing multiple techniques in the included studies allowed us to generate meaningful conclusions despite not having randomized data, which is a very difficult study design in this clinical scenario.…”

Facelift Approach for Parotidectomy: An Evolving Aesthetic Technique

“…Of the 139 studies, 113 were excluded due to duplicate searches, focus on reconstruction of the surgical bed rather than surgical approach, novel incision, and irrelevant search. Twenty-six studies were further assessed, and 15 were excluded because of their descriptive nature (9), 2,8,9-15 lack of minimal data set (2), 16,17 concurrent surgical facelift (2), 18,19 and use of synthetic material for reconstruction of the surgical bed (2) 20,21 ( Figure 3 ). We identified 11 relevant studies that were included in the final analysis 3-7,12,22-26 ( Table 1 ).…”

Minimal incision in parotidectomy

“…Numerous studies support the theory that the rhytidectomy incision provides sufficient exposition and visualization of the parotid gland without too conspicuous scarring 7 . The retroauricular region dissection is unnecessary owing to the elastic properties of the skin, so it is possible to reduce the incision with no extension into the scalp.…”

Patient and Surgeon‐Reported Satisfaction With Reconstruction Following Superficial Parotidectomy: A Systematic Review and Meta‐Analysis

“…[ 14 , 20 , 27 , 28 , 29 ]. Eight studies utilized forward‐direction Likert Scales (i.e., higher number equates to more positive outcome) with scales of 1–10, 0–10, 0–5, and 1–3 [ 15 , 18 , 22 , 23 , 24 , 25 , 26 , 30 ]. One study used a 1–0, reverse‐direction Likert Scale [ 16 ].…”

“…Therefore, patient selection for the various reconstruction groups was likely based on patient factors including lesion location, size, histology, individual anatomy, comorbidities, and surgeon preference. Furthermore, there will be some technique variability within a given reconstruction method: SCM flaps may be full or partial thickness and may also be superior or inferiorly based [ 14 , 15 , 21 , 25 , 26 , 27 , 28 ]; SMAS flaps may be harvested and inset using various methods [ 15 , 17 , 18 , 20 , 22 , 23 , 24 , 26 , 30 ]. However, we feel that comparing multiple techniques in the included studies allowed us to generate meaningful conclusions despite not having randomized data, which is a very difficult study design in this clinical scenario.…”

Facelift Approach for Parotidectomy: An Evolving Aesthetic Technique

“…Of the 139 studies, 113 were excluded due to duplicate searches, focus on reconstruction of the surgical bed rather than surgical approach, novel incision, and irrelevant search. Twenty-six studies were further assessed, and 15 were excluded because of their descriptive nature (9), 2,8,9-15 lack of minimal data set (2), 16,17 concurrent surgical facelift (2), 18,19 and use of synthetic material for reconstruction of the surgical bed (2) 20,21 ( Figure 3 ). We identified 11 relevant studies that were included in the final analysis 3-7,12,22-26 ( Table 1 ).…”

Minimal incision in parotidectomy

“…Numerous studies support the theory that the rhytidectomy incision provides sufficient exposition and visualization of the parotid gland without too conspicuous scarring 7 . The retroauricular region dissection is unnecessary owing to the elastic properties of the skin, so it is possible to reduce the incision with no extension into the scalp.…”

Patient and Surgeon‐Reported Satisfaction With Reconstruction Following Superficial Parotidectomy: A Systematic Review and Meta‐Analysis

“…[ 14 , 20 , 27 , 28 , 29 ]. Eight studies utilized forward‐direction Likert Scales (i.e., higher number equates to more positive outcome) with scales of 1–10, 0–10, 0–5, and 1–3 [ 15 , 18 , 22 , 23 , 24 , 25 , 26 , 30 ]. One study used a 1–0, reverse‐direction Likert Scale [ 16 ].…”

“…Therefore, patient selection for the various reconstruction groups was likely based on patient factors including lesion location, size, histology, individual anatomy, comorbidities, and surgeon preference. Furthermore, there will be some technique variability within a given reconstruction method: SCM flaps may be full or partial thickness and may also be superior or inferiorly based [ 14 , 15 , 21 , 25 , 26 , 27 , 28 ]; SMAS flaps may be harvested and inset using various methods [ 15 , 17 , 18 , 20 , 22 , 23 , 24 , 26 , 30 ]. However, we feel that comparing multiple techniques in the included studies allowed us to generate meaningful conclusions despite not having randomized data, which is a very difficult study design in this clinical scenario.…”

Facelift Approach for Parotidectomy: An Evolving Aesthetic Technique

“…Of the 139 studies, 113 were excluded due to duplicate searches, focus on reconstruction of the surgical bed rather than surgical approach, novel incision, and irrelevant search. Twenty-six studies were further assessed, and 15 were excluded because of their descriptive nature (9), 2,8,9-15 lack of minimal data set (2), 16,17 concurrent surgical facelift (2), 18,19 and use of synthetic material for reconstruction of the surgical bed (2) 20,21 ( Figure 3 ). We identified 11 relevant studies that were included in the final analysis 3-7,12,22-26 ( Table 1 ).…”