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285037

Minimally Invasive Approach in the Treatment of Benign Parotid Gland Tumors

Article

Last updated: 24 Dec 2024

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Abstract

Background: Conventional incisions for parotidectomy heal with a hardly discernible scar, which can cause long-term psychosocial difficulties for patients. A minimally invasive method was the best option, when the parotid tumor was mobile, superficially and small in size, contain the preauricular and postauricular incisions without upper cervical or hairline incisions, which shorten the scar, dissection and improves the aesthetic results. Aim of the study: To evaluate a minimally invasive approach of parotidectomy for benign parotid tumors regarding aesthetics, facial nerve weakness, numbness of the ear, and time of operation. Materials and Methods: This prospective clinical study included 10 patients with benign parotid lesions treated with a minimally invasive approach via V-shape incision. Age, gender, histological type of the tumor, facial nerve assessment, the sensation of the posterior auricular nerve, operative time, and patient satisfaction were analyzed. Followed-up interval include 1, 2, 4, 12and 24 weeks. Results: Visual analogue scale for cosmetic satisfaction revealed 8 patients (very satisfied), and two patients (satisfied). Facial nerves were intact in 9 patients, while one patient's forehead wrinkles showed a slight weakening. PAN sensation showed hypoesthesia in 2 patients only. Mean operative time was relatively about 90 minutes. Conclusions: Minimally invasive approach, is safe and practical for preserving the facial nerve and posterior auricular nerve, produce no scar on the face or neck marking a significant step forward in the cosmetic evaluation of parotidectomy with no significant complications. So, it turned out to be reasonable for the surgeon and satisfactory for the majority of the patients.    

DOI

10.21608/ejhm.2023.285037

Keywords

Minimally invasive, Parotidectomy, Superficial parotidectomy

Authors

First Name

Zainab Hussein

Last Name

Ali

MiddleName

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Affiliation

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Email

zainabhusseinaliibrahim@gmail.com

City

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Orcid

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First Name

Ayad Abdulkhalik

Last Name

Hasan

MiddleName

-

Affiliation

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City

-

Orcid

-

Volume

90

Article Issue

2

Related Issue

39562

Issue Date

2023-01-01

Receive Date

2023-02-11

Publish Date

2023-01-01

Page Start

2,088

Page End

2,092

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_285037.html

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https://ejhm.journals.ekb.eg/service?article_code=285037

Order

13

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Minimally Invasive Approach in the Treatment of Benign Parotid Gland Tumors

Details

Type

Article

Created At

24 Dec 2024