A Clinical Comparative Study Of The Face-lift Incision And The Traditional Incision In Parotidectomy

Objective:Compare the face-lift incision with the traditional incision of the clinical treatment in parotidectomy.Methods:We collected 116 patients with parotidectomy from October 2013 to March2015 in the Department of Stomatology,TongJi Hospital of Huazhong University,divided into two groups.I group(69) using the traditional "S" shape incision and using a biofilm cover the surface of facial nerve;II group(47) using the face-lift incision,we assigned to another two groups,IIA(25) using a biofilm cover the surface of facial nerve,group IIB(22)patients using a sternocleidomastoid muscle flap to cover nerve and recover coloboma.All patients were followed up for 1 year.Compared the two groups with the time of operation,bleeding volume, volume of drainage,and the length of stay in hospital.Collecting the occurrence rate of salivary fistula,Frey’s syndrome,earlobe numbness,facial paralysis and other complications.And investigate the patient’s aesthetic satisfaction with both incision.Results:All the patients(116) in this research,including 111 cases(95%) were benign rumor.male-to-female ratio was 75:41,left-to-right ratio was 69:47.The two groups in bleeding volume, volume of drainage,and the length of stay were have no statistical differences(P>0.05),but in the time of operation,they have statistical difference(P<0.05).In group I there were 22 patients developed transient facial paralysis after surgery,group II have 5 patients developed.Group I 9 patients have Frey’s syndrome,group IIA 2 patients developed Frey’s syndrome,group IIB nobody suffering.The cases of salivary fistula in two groups was 7 and 5 patients.And in group I 44 patients developed earlobe numbness,group II 7 patients developed.There were no difference between two groups in salivary fistula,but in facial paralysis,Frey’s syndrome and earlobe numbness,they all have statistical difference(P<0.05),it proved that the traditional "S" shape incision give rise to higher complications rates than the face-lift incision.The questionnaire survey about the patients satisfaction with the surgery is that the face-lift incision are better than the traditional one.Conclusions:The traditional "S" shaped incision can not be satisfied with the contemporary patients needs of beautiful demand.The face-lift incision can effectively reduce the postoperative complications, and the scar hidden leaded to more aesthetically pleasing.So the face-lift incision is the ideal choice in parotidectomy.