An aesthetic incision for parotidectomy

Objective A modified incision was used in parotidectomy to reduce the visible scar. Methods 16 patients with benign parotid gland tumor were included in this study(10 cases with pleomorphic adenoma,6 cases with Warthin tumor). A modified incision was applied to parotidectomy for aesthetic effects and preservation of facial nerve as well as great auricular nerve. One year follow-up was conducted with focus on the cosmetic effect of this incision and the clinical outcome. Results The modified incision healed well in all patients without salivary fistulae. Two patients underwent temporary facial nerve paralysis after the procedure and recovered 1 and 2 months respectively. 12 patients complained of earlobe numb after operation, but recovered 2 months postoperatively except for 4 patients whose great auricular nerves were cut off during operation. All the patients were highly satisfied with this modified incision. No recurrence was founded in all patients. Conclusion The modified incision can be applied to parotidectomy with adequate exposure during operation and ideal postoperative aesthetic effect.