Mayer B, Christoph S
St. Hedwig-Krankenhaus Berlin, Klinik und Poliklinik für Hals-Nasen-Ohrenkrankheiten, Plastische Gesichts- und Halschirurgie.
Laryngorhinootologie. 1996 Sep;75(9):548-50. doi: 10.1055/s-2007-997631.
Parotidectomies sometimes leave a conspicuous soft-tissue defect in the dorsal part of the cheek.
The authors present a modification of the standard technique of parotidectomy which is reserved for the surgical management of benign parotid tumors. The incision of the skin follows the guidelines for standard subcutaneous rhytidectomy with a modification according to the Redon incision. They use flaps of the subcutaneous musculoaponeurotic system (SMAS), which they fold or rotate in order to fill the soft-tissue defect following parotidectomy. The preparation of the skin and the SMAS in layers from the lateral to the medial aspect of the cheek does not affect the blood supply which comes from medially running vessels.
Forty patients have been operated on using these modifications of the standard technique. A postoperative follow-up of more than one year could be controlled in 31 cases. Thirty patients showed an inconspicuous dorsal region of the cheek without a soft-tissue defect compared to the other side. They did not wish a secondary operation for an aesthetic improvement except two scar revisions.
To date this surgical concept has proved its worth.
腮腺切除术有时会在脸颊背侧留下明显的软组织缺损。
作者介绍了一种改良的腮腺切除标准技术，该技术专门用于良性腮腺肿瘤的外科治疗。皮肤切口遵循标准皮下除皱术的指导原则，并根据雷东切口进行了改良。他们使用皮下肌肉腱膜系统（SMAS）瓣，将其折叠或旋转以填充腮腺切除术后的软组织缺损。从脸颊外侧向内侧分层制备皮肤和SMAS不会影响来自内侧走行血管的血液供应。
40例患者采用了这些改良的标准技术进行手术。31例患者进行了超过一年的术后随访。与另一侧相比，30例患者脸颊背侧区域不明显，无软组织缺损。除了两次瘢痕修复外，他们不希望进行二次手术来改善美观。
迄今为止，这一手术理念已证明了其价值。
