Department of Otorhinolaryngology and Head and Neck Surgery, São José Hospital, Joinville/SC, Brazil.
Braz J Otorhinolaryngol. 2013 Mar-Apr;79(2):168-72. doi: 10.5935/1808-8694.20130030.
The modified rhytidectomy incision is an alternative to the classic cervicomastoidfacial approach for parotid surgery, camouflaging the scar in barely visible areas, resulting in better cosmesis. However, there are very few studies comparing the incidence of complications and functional results of patients submitted to parotidectomy through these two different approaches.
Compare the incidence of complications and functional results of patients with benign parotid neoplasms submitted to surgery through the classical incision versus the modified rhytidectomy approach.
Retrospective cohort study evaluating the demographics, surgical and post-operative characteristics of an equally distributed group of sixty patients submitted to parotidectomy via cervicomastoidfacial incision or modified rhytidectomy approach.
There were no significant differences in complications rates and functional results between the groups, except for a lower incidence of early facial movement dysfunction for the modified rhytidectomy approach - which was 86% lower in this group of patients.
Modified rhytidectomy incision has shown comparable complication rates to those of the classic approach and a lower incidence of immediate facial movement impairment.
目的：比较通过经典切口与改良除皱切口行腮腺切除术的患者的并发症发生率和功能结果。
方法：回顾性队列研究，评估了 60 例经颈乳入路或改良除皱切口行腮腺切除术的患者的人口统计学、手术和术后特征，这些患者的分布情况相同。
结果：除改良除皱切口组的早期面部运动功能障碍发生率较低（该组患者降低了 86%）外，两组间并发症发生率和功能结果无显著差异。
结论：改良除皱切口与经典入路的并发症发生率相当，且即刻面部运动障碍的发生率较低。
