Objective: The mainstay of first-line treatment of parotid tumors is adequate surgical removal. The present study was conducted to compare the differences between parotidectomy with postauricular incision (PI) and modified Blair incision (MBI).
Data Sources: A systematic search of PubMed, Embase and the Cochrane Library was performed.
Methods: The data of interest and study characteristics were extracted from the included studies. Statistical analysis was performed with Comprehensive Meta-Analysis software (version 3; BioStat, Englewood, NJ). Dichotomous data and continuous data were analyzed by calculating the risk difference and the mean difference with the 95% confidence interval respectively.
Results: Four retrospective studies were included in the present meta-analysis. The pooled results revealed that the cosmetic satisfaction score was higher in the PI group (MD = 2.67; 95% CI, 2.12 to 3.23) and that intraoperative blood loss was lower in the PI group (MD = -55.35; 95% CI, -100.33 to -10.36). The operative duration (MD = -5.15; 95% CI, -24.06 to 13.75), tumor size (MD = -.07; 95% CI, -.27 to .13) and incidences of common postoperative complications were comparable between the two groups.
Conclusions: According to these findings, the use of PI in parotidectomies may be one of the options for improving cosmetic outcomes. This technique may be considered if oncological safety can be secured.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/15533506221120484 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Use of Occipital Vessels in Head and Neck Microvascular Reconstruction: A Comprehensive Preclinical Evaluation.
Laryngoscope
January 2025
Cleveland Clinic Foundation, Head and Neck Institute, Cleveland, Ohio, U.S.A.
Objectives: To assess the use of occipital vessels for microvascular anastomosis in head and neck free tissue transfer reconstruction.
Methods: A literature search was undertaken to identify studies utilizing the occipital vessels for microvascular anastomosis in free tissue transfer. Following literature review, 30 anatomic cadaveric dissections on 15 fresh unfixed cadavers were performed to evaluate the occipital artery and identify a reliable vein within reasonable proximity.
Postauricular Approach for Enucleation of Cervical Vagal Schwannomas.
Head Neck
December 2024
Department of Otorhinolaryngology-Head and Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea.
Background: This study evaluates the outcomes of intracapsular enucleation using the retroauricular hairline incision (RAHI) approach for treating cervical vagal schwannomas.
Methods: A longitudinal study was conducted on patients with cervical vagal schwannomas. Eleven patients who underwent RAHI-based enucleation were included.
Full Endoscopic Procedures of Total Parotidectomy.
Laryngoscope
November 2024
State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Head and Neck Oncology, West China Hospital of Stomatology, Sichuan University, Chengdu, China.
We presented the surgical procedures of full endoscopic total parotidectomy followed by the sternocleidomastoid muscle flap transplantation via a short postauricular hairline incision, and reported patient outcomes to evaluate the feasibility and efficacy of this novel approach. Laryngoscope, 2024.
View Article and Find Full Text PDFBurr Hole Endoscopic Mastoidectomy: A Morphometric Cadaveric Study.
J Neurol Surg B Skull Base
October 2024
Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, United States.
Traditional open mastoidectomy is performed through a retro-auricular incision to expose the mastoid cortex. Few have addressed the possibility of performing an endoscopic minimally invasive mastoidectomy. Our objective was to test the feasibility of performing an endoscopic mastoidectomy through a 1 cm incision and burr hole.
View Article and Find Full Text PDFPost-surgical Hypertrophic Scar in a Patient With Unilateral Temporomandibular Joint Ankylosis.
Cureus
August 2024
Department of Oral and Maxillofacial Surgery, Tamil Nadu Government Dental College and Hospital, Chennai, IND.
Article Synopsis
- - Wound healing is a complex biological process aimed at repairing damaged tissues, especially in critical areas like the temporomandibular joint (TMJ), which is essential for jaw movement.
- - TMJ ankylosis severely limits mouth opening and movement, impacting vital functions like eating, speaking, and overall quality of life; gap arthroplasty is a common surgical treatment for this condition.
- - The healing process in TMJ can be complicated due to its anatomy and stress, leading to issues like hypertrophic scarring, necessitating a collaborative approach involving different health professionals for effective treatment.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!