Comparison of the efficacy of the V-shaped incision and modified Blair incision approach for resection of benign tumors in the superficial lobe of the parotid gland
10.12016/j.issn.2096-1456.202440249
- Author:
WU Shihan
1
,
2
;
MUHETAER Reyihanguli
3
,
4
;
ABULIZ Adila
3
,
4
;
YANG Rong
1
,
2
;
XU Hui
2
,
5
Author Information
1. 1.Postgraduate College of Xinjiang Medical University 2.Department of Oral and Maxillofacial Surgery, People'
2. s Hospital of Xinjiang Uygur Autonomous Region
3. 1.Postgraduate College of Xinjiang Medical University 2Department of Oral and Maxillofacial Surgery, People'
4. s Hospital of Xinjiang Uygur Autonomous Region.
5. Department of Oral and Maxillofacial Surgery, People'
- Publication Type:Journal Article
- Keywords:
parotid gland tumor / V-shaped incision / concealed incision / negative pressure drainage / postoperative drainage volume / periauricular numbness / retro auricular sulcus / hypertrophic scar
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2025;33(4):289-295
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the feasibility of a V-shaped incision in the resection of a superficial parotid gland benign tumor by comparison with a modified Blair incision. To provide a basis for evaluating the clinical application value of the V-shaped incision.
Methods:This study was reviewed and approved by the ethics committee, and informed consent was obtained from the patients. Data from 61 patients with a benign tumor on the superficial parotid gland who had surgery at People’s Hospital of Xinjiang Uygur Autonomous Region from September 2021 to September 2023 were collected and analyzed. The maximum diameter of the tumor included in the patient should not exceed 4 cm. The patients were divided into two groups based on the different surgical incisions: a V-shaped incision group (29 cases) and modified Blair incision group (32 cases). Several comparisons were made between the group: operation time; postoperative drainage volume; facial nerve function, pain, and complication in the operation area; and aesthetic effect of the surgical incision. The patients were followed up for 6 months. The 61 patients were further divided into groups based on the locations of the tumors: tumors around the earlobe and tumors in the lower pole of the parotid gland.
Results:There were no significant differences in operation time, postoperative House-Brackmann grading system (HBGs) facial nerve function score, and visual analogue scale (VAS) pain score between the two groups (P>0.05). The postoperative drainage volume and Vancouver scar scale (VSS) score of the V-shaped incision group were higher than the modified Blair incision group (P<0.05). The incidence of great auricular nerve numbness was lower in the V-shaped incision group than the modified Blair incision group (P<0.05). The operation time of the V-shaped incision applied to excise the tumor around the earlobe was shorter than the modified Blair incision (P<0.05).
Conclusion:The V-shaped incision is a concealed facial incision, surgeons should be aware that some patients who receive this incision have a large amount of postoperative drainage and the retroauricular region is prone to scar hyperplasia.
- Full text:2025040915293121632耳周V形切口与改良Blair切口入路切除腮腺浅叶良性肿瘤的疗效比较.pdf
