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Assessment of a limited-access parotidectomy technique's complications and scar characteristics – A cohort study

  • Danny Levy
    Affiliations
    Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel
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  • Ohad Ronen
    Correspondence
    Corresponding author at: Head and Neck Surgery Unit, Galilee Medical Center, POB 21, Nahariya 2210001, Israel.
    Affiliations
    Head and Neck Surgery Unit, Department of Otolaryngology – Head and Neck Surgery, Galilee Medical Center, affiliated with Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel
    Search for articles by this author
Published:August 28, 2022DOI:https://doi.org/10.1016/j.bjps.2022.08.066

      Summary

      Objective

      Parotidectomy is the treatment of choice for benign tumors of the parotid gland, with the modified Blair incision most commonly utilized. This retrospective analysis aimed to determine the incidence of complications and assess the relationship between the mass and scar characteristics, in patients who had undergone parotidectomy.

      Materials and Methods

      The scar characteristics of patients who had undergone parotidectomy for benign neoplasms at our medical center between 2013 and 2019 were evaluated.

      Results

      Overall, 49 patients met the inclusion criteria, of whom 33 agreed to participate in the study. The mean patient age was 52.8 years; 57.5% were males. No correlation was identified between the parotid mass size or location and scar type or length. The most common complications in this study were similar to those reported in the literature.

      Conclusion

      The results of this study suggest that the smaller, tailored modified Blair incision for parotidectomy does not increase complication rates. Future studies with larger cohorts should be conducted to further assess the potential benefits of tailored incision size during modified Blair parotidectomies.

      Keywords

      Abbreviations:

      PA (pleomorphic adenoma), WT (Warthin tumor), QoL (quality of life)
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