Postauricular hairline plus temporal approach gasless full-endoscopic parotidectomy for tumors in deep lobe of parotid gland: a 16-case report
10.3760/cma.j.cn112144-20231025-00218
- VernacularTitle:耳后发际加颞部小切口入路免充气完全内镜下腮腺深叶肿瘤切除16例
- Author:
Hongxuan WEI
1
;
Su CHEN
;
Fan YANG
;
Xiaoyi WANG
;
Chunjie LI
;
Longjiang LI
;
Guiquan ZHU
Author Information
1. 四川大学华西口腔医院头颈肿瘤外科 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心，成都 610041
- Keywords:
Parotid gland;
Full-endoscopic parotidectomy;
Deep lobe;
Minimally invasive;
Aesthetic
- From:
Chinese Journal of Stomatology
2024;59(2):173-177
- CountryChina
- Language:Chinese
-
Abstract:
To investigate the safety and feasibility of gasless total endoscopic resection of deep lobe parotid gland tumors via a postauricular hairline plus temporal approach. The approach was designed as: a 4 to 5 cm main incision was designed at the postauricular hairline, and a 0.5 cm auxiliary incision was designed in the temporal hairline. The operating cavity was established with the assistance of a special retractor. "Anterograde" dissection of the facial nerve was performed throughout the procedure, along with partial or total gland removal of the tumor. All 16 operations were successfully completed without conversion to open surgery. During the operation, the trunk and branches of the facial nerve were completely preserved, the tumor was completely removed, and the incision healed. Six patients had mild facial paralysis after operation, and recovered completely after 3 to 6 months. There was no salivary fistula, Frey syndrome, infection, or other complications. The postoperative incision was concealed and the aesthetic effect was good. The postauricular hairline plus temporal approach gasless total endoscopic parotidectomy is safe and feasible. This technique can achieve the complete dissection of the total trunk to the branches of the facial nerve, and has good access to the tumors located in any part of the parotid gland region. On the basis of radical resection of the tumor, it achieves minimally invasive and aesthetic improvement.
