Modified face-lift approach combined with a superficially anterior and superior-based sternocleidomastoid muscle flap in total parotidectomy
Autor: | Xiao-ming Dai, Hua Liu, Yi-song Li |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Esthetics Endocrine Surgical Procedures Sweating Gustatory Surgical Flaps Pathology and Forensic Medicine Young Adult Patient satisfaction Total parotidectomy Neck Muscles medicine Humans Parotid Gland Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Great auricular nerve Aged Retrospective Studies Aged 80 and over business.industry Retrospective cohort study Middle Aged Cheek Gustatory sweating Parotid Neoplasms Surgery medicine.anatomical_structure Sternocleidomastoid muscle flap Patient Satisfaction Rhytidoplasty Female Oral Surgery Sternocleidomastoid muscle business |
Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 113:593-599 |
ISSN: | 2212-4403 |
DOI: | 10.1016/j.tripleo.2011.04.042 |
Popis: | Objectives The authors evaluate a modified total parotidectomy performed through a modified face-lift incision integrated with a superficially anterior and superior pedicled sternocleidomastoid muscle (SASSCM) flap. Study Design Records of 86 cases of total parotidectomy were reviewed retrospectively. Clinical evaluation of cosmetic gratification, presence or absence of gustatory flushing or sweating, functional reversion of the seventh cranial nerve and great auricular nerve (GAN) were undertaken by 3 investigators independent to the operators. Results This group presents a mean follow-up of twenty-six months. The average scale of cosmetic gratification from patients and investigators are 7.97 and 7.56, respectively. Almost total complaints about anesthesia in upper cervical part and cheek disappeared within three months postoperatively. Neither in objective test nor from subjective complaint was gustatory sweating identified in present study. Conclusions The authors' technique is esthetically pleasing and efficacious to prevention of gustatory sweating in total parotidectomy. |
Databáze: | OpenAIRE |
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