Indication and safety of Face-Lift approach for parotidectomy

Abstract

Although the face-lift approach has been used for parotidectomy due to its esthetic benefits, its indication is still controversial. In this study, we compared several parameters of patients who underwent parotidectomy in Nagoya City University Hospital between the face-lift approach group （FL group, n＝46） and the conventional skin incision group （Co group, n＝84）. As a result, patients in the FL group were younger and there were more women in the FL group than the Co group. Tumor diameters were comparable between the two groups, whereas the number of deep lobe tumors tended to be small in the FL group. There was no significant difference in operative time or amount of bleeding between the two groups. We did not find any difference in the incidence of surgical complications among the two groups. However, salivary leakage was more common in the FL group. In conclusion, we confirmed the efficacy and safety of the face-lift approach in patients treated with parotidectomy.