1. PARTIAL SUPERFICIAL
PAROTIDECTOMY WITH FACELIFT
INCISION
Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD,
Mariana Valenzuela MD, Raúl Martínez MD and Grace Tapia MD.
Dr. Sotero del Río Hospital
Chile
IPRAS 2013

2. Introduction
• Neoplasms of the parotid glands
account for about 2-3% of head and
neck tumors.
• Most tumors are benign and
treatment is superficial parotidectomy
in most cases.
• A prominent facial scar following
parotid surgery can be distressing for
the patient.
Lin et al. / American Journal of Otolaryngology–Head and Neck Medicine and Surgery 29 (2008)
94–100
IPRAS 2013

3. Introduction
• The surgical technique of superficial
parotidectomy via a facelift incision is
described.
Lohuis PJ et al .Ann Otol Rhinol Laryngol. 2009 Apr;118(4):276-80.
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4. Objective
• To present the results of treatment
of benign parotid tumor with Partial
superficial parotidectomy with a
facelift incision
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5. Method• Retrospective analysis of patients with
benign parotid tumors who underwent to
Partial superficial parotidectomy with a
facelift incision at our center from 2009
to 2012.
• Medical record review
• Clinical assessment
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6. Method
Surgical
Technique
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7. Method
Surgical Technique
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• Incision is made behind the
tragus.
• Then extended distally
around the origin of the
earlobe to the retroauricular
fold.
• At the level of the tragus the
retroauricular incision is
extended posteriorly and then
curved in occipital direction
into o just below the hairline.

8. Results
• The series consisted of 19
patients, 9 women.
• The average age was 42 years
(range 17-56 years).
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9. Results
Distribution by histology
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10. Results
Suprafacial
(n=53)
Partial
suprafacial
w/facelift
(n=19)
p
Temporary facial
nerve palsy
28 (52.8%) 4 (21%) <0,05
Depression of the
surgical bed
9 (17%) 0 <0,05
Periauricular
dysesthesia
10 (18.8%) 2 (10.5%) N.S
Frey syndrome 3 (5,7%) 0 N.S
Dissatisfied with
scar
2 (3,8%) 0 N.S
Pain or
periauricular
discomfort
0 0 N.S
Tumor recurrence 0 0 N.S
Postoperative complication.
Comparative analysis: Suprafacial vs parcial w/facelift
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11. Discussion
• The application of techniques less
invasive such as partial suprafacial
parotidectomy allow low morbidity rates
and no difference in recurrence rate.
• Facelift incision provides an adequate
exposure of the parotid gland for partial
superficial parotidectomy
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12. Discussion
• It can be offered as an alternative to a
group of patients who present with a
small, mobile tumor in the tail of the
parotid gland.
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13. PARTIAL SUPERFICIAL
PAROTIDECTOMY WITH FACELIFT
INCISION
Ricardo Yáñez MD, Francisco J. Loyola MD, Jorge Cornejo MD,
Mariana Valenzuela MD, Raúl Martínez MD and Grace Tapia MD.
Dr. Sotero del Río Hospital
Chile
IPRAS 2013