From the Department of Plastic Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.
Department of Plastic Surgery, Vanderbilt University Medical Center, Nashville, TN.
Ann Plast Surg. 2024 Aug 1;93(2S Suppl 1):S69-S74. doi: 10.1097/SAP.0000000000003932.
To provide surgical references for selecting appropriate parotidectomy incisions, reviewing modified approaches, incision designs, and associated complications.
We have systematically searched 5 medical literature databases examining parotidectomy incision designs and postoperative complications from 2008 to 2021.
There are a total of 9 novel incision designs: 1) posterior auricular hairline incision (PAHI); 2) combined preauricular and retroauricular incision (CPRI); 3) V-shaped incision (VI); 4) N-shaped incision (NI); 5) postaural incision (PI); 6) preauricular crutch incision (PCI); and 7) endaural incision (EI). Simultaneously, there are a total of 8 postoperative complications: 1) infection; 2) salivary fistula; 3) facial nerve palsy/paresis; 4) ear lobule numbness; 5) Frey syndrome; 6) facial deformity; 7) hematoma; and 8) tumor reoccurrence.
Over the last decade, a surge in modified parotidectomy incisions has been witnessed in clinical practice. This expansion is attributed to rapid technical advancements and a deeper understanding of anatomy and histopathology. These modified approaches contribute significantly to improving cosmetic outcomes, minimizing associated complications, and enhancing patient satisfaction.
为选择合适的腮腺切除术切口提供手术参考，回顾改良方法、切口设计及相关并发症。
我们系统地检索了 5 个医学文献数据库，从 2008 年至 2021 年检查了腮腺切除术切口设计和术后并发症。
共有 9 种新的切口设计：1）耳后发际内切口（PAHI）；2）耳前和耳后联合切口（CPRI）；3）V 形切口（VI）；4）N 形切口（NI）；5）耳后切口（PI）；6）耳前拐杖切口（PCI）；和 7）耳内切口（EI）。同时，共有 8 种术后并发症：1）感染；2）涎瘘；3）面神经瘫痪/无力；4）耳垂麻木；5）弗雷综合征；6）面部畸形；7）血肿；和 8）肿瘤复发。
在过去十年中，临床上出现了大量改良腮腺切除术切口。这种扩张归因于技术的快速进步以及对解剖和组织病理学的更深入理解。这些改良方法对改善美容效果、最小化相关并发症和提高患者满意度有显著贡献。
