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KMID : 0361020150580050337
Korean Journal of Otolaryngology - Head and Neck Surgery
2015 Volume.58 No. 5 p.337 ~ p.340
Comparison of Modified Blair Incision and Modified Facelift Incision in Parotidectomy
Kim Moo-Keon

Ji Seon-Yeong
Song Chang-Myeon
Lee Seung-Hwan
Kim Kyung-Rae
Tae Kyung
Abstract
Background and Objectives: Modified Blair incision (MBI) and Modified facelift incision (MFI) are mainly used for paroidectomy. MBI can provide a wide surgical view for parotidectomy. MFI was designed for better cosmesis by hiding the incision behind the auricle and hair line. This study was performed to evaluate surgical outcomes, functional and cosmetic results after parotidectomy using MBI and MFI.

Subjects and Method: We retrospectively reviewed medical records of 120 patients who underwent parotidectomy from September 2005 to April 2012. Tumor characteristics, operative outcome, and cosmetic outcome according to incision method were investigated. Cosmetic satisfaction was assessed using a questionnaire 12-18 months after surgery.

Results: Tumor characteristics such as size, location and pathologic features did not differ between the two groups. The extent of parotidectomy, operation time, amout of drainage, and complications were also not different between the two groups. Cosmetic satisfaction was significantly supeior in the MFI group than that of the MBI group.

Conclusion: MFI is superior to MBI for parotidectomy for having similar surgical outcome but better esthetical success compared to MBI.
KEYWORD
Modified Blair incision, Modified facelift incision, Parotidectomy, Parotid tumor
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