Volume 43, Issue 3 pp. 825-832
ORIGINAL ARTICLE

Partial parotidectomy via periauricular incision: Retrospective cohort study and comparative analysis to alternative incisional approaches

C.Alessandra Colaianni MD

C.Alessandra Colaianni MD

Harvard Medical School Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA

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Allen L. Feng MD

Allen L. Feng MD

Harvard Medical School Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA

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Jeremy D. Richmon MD

Corresponding Author

Jeremy D. Richmon MD

Harvard Medical School Department of Otolaryngology - Head and Neck Surgery, Massachusetts Eye and Ear, Boston, Massachusetts, USA

Correspondence

Jeremy D. Richmon, MD, Massachusetts Eye and Ear/Harvard Medical School, 243 Charles Street Boston MA, 02114.

Email: [email protected]

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First published: 15 November 2020
Citations: 4

This project was presented in a podium presentation at the Triological Society 2020 meeting, January 25, Coronado CA, USA.

Section Editor: David Eisele

Abstract

Background

We investigated a periauricular approach to the parotid and compared outcomes to alternative parotidectomy incisions.

Methods

Retrospective chart review of patients (n = 97) undergoing partial parotidectomy for benign or malignant pathology by a single surgeon. After October 2017, most patients were approached via a periauricular incision (n = 59).

Results

There was no significant difference in patient age, tumor location, length of hospital stay, postoperative complication, or pathology. Mean tumor diameter was significantly smaller in the periauricular group (2.1 cm) than in the traditional incision group (2.6 cm). No permanent injuries to facial nerve branches occurred in either group. Patients were followed for a median of 44 days after surgery.

Conclusions

This is the largest study to date that demonstrates the periauricular incision is a safe and feasible approach for most parotid neoplasms. The cosmetic advantage of this approach is that the resulting scar is smaller and does not extend into the neck.

DATA AVAILABILITY STATEMENT

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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