변형 Blair 절개법과 변형 안면거상 절개법 및 흉쇄유돌근피판을 이용한 이하선 절제술의 비교
Modified Blair Incision versus Modified Facelift Incision Combined with Sternocleidomastoid Muscular Flap in Parotidectomy
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초록
Background and Objectives To evaluate the feasibility of a modified facelift incision with sternocleidomatoid muscular (SCM) flap as a first-line surgical approach for a parotidectomy by comparison with the modified Blair incision. Subjects and Method From March 2011 to February 2014, 66 patients who underwent parotidectomy were enrolled in the study and their medical records were reviewed retrospectively. Patients with suspicious malignant tumor, metastatic lymph node, and parapharyngeal tumor in the preoperative examination were excluded from the study. Patients and tumor profiles, surgical outcomes, complications, and cosmetic outcomes were studied to compare the modified facelift incision between the SCM flap group (n=32) and the modified Blair incision group (n=34). Results There were no significant differences between the two groups with respect to tumor location, tumor size, extent of surgery, operative times, postoperative drainage, and any type of complications. The modified facelift incision with SCM flap group had higher scar satisfaction scores than the modified Blair incision group (8.5 vs. 5.7, p＜0.001). Conclusion Modified facelift incision with SCM flap can be used as a first-line surgical approach for parotidectomy in benign parotid tumor with better cosmetic outcome without increased complications.
Abstract
Background and Objectives To evaluate the feasibility of a modified facelift incision with sternocleidomatoid muscular (SCM) flap as a first-line surgical approach for a parotidectomy by comparison with the modified Blair incision. Subjects and Method From March 2011 to February 2014, 66 patients who underwent parotidectomy were enrolled in the study and their medical records were reviewed retrospectively. Patients with suspicious malignant tumor, metastatic lymph node, and parapharyngeal tumor in the preoperative examination were excluded from the study. Patients and tumor profiles, surgical outcomes, complications, and cosmetic outcomes were studied to compare the modified facelift incision between the SCM flap group (n=32) and the modified Blair incision group (n=34). Results There were no significant differences between the two groups with respect to tumor location, tumor size, extent of surgery, operative times, postoperative drainage, and any type of complications. The modified facelift incision with SCM flap group had higher scar satisfaction scores than the modified Blair incision group (8.5 vs. 5.7, p＜0.001). Conclusion Modified facelift incision with SCM flap can be used as a first-line surgical approach for parotidectomy in benign parotid tumor with better cosmetic outcome without increased complications.
참고문헌 (18)
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