Abstract：
OBJECTIVE: To describe, according to the CARE guidelines, an easily reproducible technique using two local muscle flaps to reduce the unsightly retromandibular hollow left by total parotidectomy for cancer.
METHODS: A 40-year-old Caucasian male with T3N1M0 temporal skin melanoma was managed by skin resection, conservative total parotidectomy and ipsilateral level II-IV selective lymph-node dissection. Two rotational muscle flaps were taken from the ipsilateral posterior belly of the digastric and sternocleidomastoid muscles. Postoperative course was uneventful, with 3 days\' hospital stay, without facial or spinal palsy. At 3 days, 3 months and 9 months postoperatively, the appearance of the parotid region was similar to the non-operated contralateral region.
CONCLUSIONS: Easy to perform and without associated scars, the approach described here should be included in the armamentarium available to the head and neck surgeon to avoid an unsightly hollow after total parotidectomy for cancer, in an effort to improve quality of life.
METHODS: A 40-year-old Caucasian male with T3N1M0 temporal skin melanoma was managed by skin resection, conservative total parotidectomy and ipsilateral level II-IV selective lymph-node dissection. Two rotational muscle flaps were taken from the ipsilateral posterior belly of the digastric and sternocleidomastoid muscles. Postoperative course was uneventful, with 3 days\' hospital stay, without facial or spinal palsy. At 3 days, 3 months and 9 months postoperatively, the appearance of the parotid region was similar to the non-operated contralateral region.
CONCLUSIONS: Easy to perform and without associated scars, the approach described here should be included in the armamentarium available to the head and neck surgeon to avoid an unsightly hollow after total parotidectomy for cancer, in an effort to improve quality of life.
摘要：
目的：描述，根据CARE指南,一种易于重复的技术，使用两个局部肌皮瓣减少全腮腺切除术治疗癌症留下的难看的下颌后空洞。
方法：一名40岁男性白种人患有T3N1M0颞侧皮肤黑色素瘤，通过皮肤切除术治疗，保守性全腮腺切除术和同侧II-IV级选择性淋巴结清扫术。从腹肌和胸锁乳突肌的同侧后腹部取两个旋转肌皮瓣。术后过程顺利，住院3天,没有面部或脊柱麻痹。在3天,术后3个月和9个月，腮腺区域的外观与未手术的对侧区域相似.
结论：易于执行且无相关疤痕，此处描述的方法应包括在头颈部外科医生可用的医疗设备中，以避免在全腮腺切除术后出现难看的空洞，努力提高生活质量。
方法：一名40岁男性白种人患有T3N1M0颞侧皮肤黑色素瘤，通过皮肤切除术治疗，保守性全腮腺切除术和同侧II-IV级选择性淋巴结清扫术。从腹肌和胸锁乳突肌的同侧后腹部取两个旋转肌皮瓣。术后过程顺利，住院3天,没有面部或脊柱麻痹。在3天,术后3个月和9个月，腮腺区域的外观与未手术的对侧区域相似.
结论：易于执行且无相关疤痕，此处描述的方法应包括在头颈部外科医生可用的医疗设备中，以避免在全腮腺切除术后出现难看的空洞，努力提高生活质量。
