The use of the incision before tragus in regional parotidectomy

Objective:To observe the result of two incisions in patients with benign tumor on the upper part of parotid gland after regional parotidectomy.Methods:Forty cases were divided into two groups randomly.All patients were performed parotidectomy with the incision before tragus in group 1 and routine S-shape incision in group 2 respectively.Follow-up was carried out from 1 week to 2 years post operation to observe the treatment result.Results:There were less time of operation,less tissue reaction,less scar,less incidence of Frey's syndrome and the great auricular nerve dysfunction but more beautiful outlook and more satisfaction in group 1 than those in group 2(P 0.05).There was no difference on relapse rate and incidence of partial facial nerve injury and salivary fistula among two groups(P 0.05).Conclusion:The trauma and some postoperation complications were reduced in the new technique.This surgical approach presented could achieve a better facial cosmetic result in the parotid gland surgery.