Department of Otolaryngology - Head and Neck Surgery, Assuta Medical Center, Ben Gurion University in Beer Sheva, Tel Aviv, Israel.
Department of Otolaryngology - Head and Neck Surgery, Assuta Medical Center, Ben Gurion University in Beer Sheva, Tel Aviv, Israel,
ORL J Otorhinolaryngol Relat Spec. 2020;82(3):121-129. doi: 10.1159/000505192. Epub 2020 Feb 25.
The modified Blair incision is the standard facial incision for the vast majority of parotid gland lesions. We utilize three types of incisions: "classic mini-Blair" for parotid body tumors, "cervical mini-Blair" for parotid tail tumors, and "vertical mini-Blair" for anterior parotid tumors. In this study, we describe the surgical and esthetic outcomes of these individually tailored incisions.
Patients undergoing parotidectomy between 2011 and 2013 were included. The surgical outcomes and patients' satisfaction were assessed.
Of 122 patients, 89 were included. All patients completed a questionnaire assessing the postoperative course and patients' satisfaction regarding the surgery in general and the scar in particular. Among these patients, 78 (87%) had a benign pathology and 11 (13%) had malignant tumors. The tumors were located at the parotid body in 57 patients (64%), at the parotid tail in 19 (21%), at the deep lobe in 8 (9%), and at the anterior parotid gland in 5 (6%). All tumors were removed successfully with negative margins on pathology. No inadvertent permanent facial nerve paralysis occurred. The median operation time was 72 min (23-211). The average patient scores of satisfaction with the surgical scar and with the surgery were 9.54 and 9.72, respectively.
Individualized mini-Blair incision is feasible for benign as well as selected malignant parotid tumors.
改良的 Blair 切口是绝大多数腮腺肿瘤的标准面部切口。我们采用三种切口：“经典迷你-Blair”用于腮腺体肿瘤，“颈侧迷你-Blair”用于腮腺尾部肿瘤，“垂直迷你-Blair”用于前腮腺肿瘤。在本研究中，我们描述了这些个体化切口的手术和美容效果。
纳入 2011 年至 2013 年间行腮腺切除术的患者。评估手术结果和患者满意度。
122 例患者中，89 例纳入研究。所有患者均完成了一份调查问卷，评估术后过程和患者对手术总体和特别是对疤痕的满意度。这些患者中，78 例（87%）为良性病变，11 例（13%）为恶性肿瘤。肿瘤位于腮腺体 57 例（64%），腮腺尾部 19 例（21%），深叶 8 例（9%），前腮腺 5 例（6%）。所有肿瘤均成功切除，病理检查切缘阴性。无一例意外发生永久性面神经瘫痪。手术时间中位数为 72 分钟（23-211 分钟）。患者对手术疤痕和手术的满意度评分分别为 9.54 分和 9.72 分。
个体化迷你-Blair 切口适用于良性和部分选择的恶性腮腺肿瘤。
