Abstract：
OBJECTIVE: To provide surgical references for selecting appropriate parotidectomy incisions, reviewing modified approaches, incision designs, and associated complications.
METHODS: We have systematically searched 5 medical literature databases examining parotidectomy incision designs and postoperative complications from 2008 to 2021.
RESULTS: There are a total of 9 novel incision designs: 1) posterior auricular hairline incision (PAHI); 2) combined preauricular and retroauricular incision (CPRI); 3) V-shaped incision (VI); 4) N-shaped incision (NI); 5) postaural incision (PI); 6) preauricular crutch incision (PCI); and 7) endaural incision (EI). Simultaneously, there are a total of 8 postoperative complications: 1) infection; 2) salivary fistula; 3) facial nerve palsy/paresis; 4) ear lobule numbness; 5) Frey syndrome; 6) facial deformity; 7) hematoma; and 8) tumor reoccurrence.
CONCLUSIONS: Over the last decade, a surge in modified parotidectomy incisions has been witnessed in clinical practice. This expansion is attributed to rapid technical advancements and a deeper understanding of anatomy and histopathology. These modified approaches contribute significantly to improving cosmetic outcomes, minimizing associated complications, and enhancing patient satisfaction.
METHODS: We have systematically searched 5 medical literature databases examining parotidectomy incision designs and postoperative complications from 2008 to 2021.
RESULTS: There are a total of 9 novel incision designs: 1) posterior auricular hairline incision (PAHI); 2) combined preauricular and retroauricular incision (CPRI); 3) V-shaped incision (VI); 4) N-shaped incision (NI); 5) postaural incision (PI); 6) preauricular crutch incision (PCI); and 7) endaural incision (EI). Simultaneously, there are a total of 8 postoperative complications: 1) infection; 2) salivary fistula; 3) facial nerve palsy/paresis; 4) ear lobule numbness; 5) Frey syndrome; 6) facial deformity; 7) hematoma; and 8) tumor reoccurrence.
CONCLUSIONS: Over the last decade, a surge in modified parotidectomy incisions has been witnessed in clinical practice. This expansion is attributed to rapid technical advancements and a deeper understanding of anatomy and histopathology. These modified approaches contribute significantly to improving cosmetic outcomes, minimizing associated complications, and enhancing patient satisfaction.
摘要：
目的：为选择合适的腮腺切除术切口提供手术参考。审查修改后的方法，切口设计,和相关的并发症。
方法：我们系统地检索了2008年至2021年腮腺切除术切口设计和术后并发症的5个医学文献数据库。
结果：共有9种新颖的切口设计：1）耳后发际线切口（PAHI）；2）耳前和耳后联合切口（CPRI）；3）V形切口（VI）；4）N形切口（NI）；5）体位切口（PI）；6）耳前拐杖切口（PCI）；7）耳内切口（PCI）。同时,共有8种术后并发症：1）感染；2）唾液瘘；3）面神经麻痹/轻瘫；4）耳部小叶麻木；5）Frey综合征；6）面部畸形；7）血肿；8）肿瘤复发。
结论：在过去的十年中，在临床实践中已经见证了改良腮腺切除术切口的激增。这种扩展归因于快速的技术进步以及对解剖学和组织病理学的更深入的理解。这些改进的方法显著有助于改善美容效果，尽量减少相关并发症，提高患者满意度。
方法：我们系统地检索了2008年至2021年腮腺切除术切口设计和术后并发症的5个医学文献数据库。
结果：共有9种新颖的切口设计：1）耳后发际线切口（PAHI）；2）耳前和耳后联合切口（CPRI）；3）V形切口（VI）；4）N形切口（NI）；5）体位切口（PI）；6）耳前拐杖切口（PCI）；7）耳内切口（PCI）。同时,共有8种术后并发症：1）感染；2）唾液瘘；3）面神经麻痹/轻瘫；4）耳部小叶麻木；5）Frey综合征；6）面部畸形；7）血肿；8）肿瘤复发。
结论：在过去的十年中，在临床实践中已经见证了改良腮腺切除术切口的激增。这种扩展归因于快速的技术进步以及对解剖学和组织病理学的更深入的理解。这些改进的方法显著有助于改善美容效果，尽量减少相关并发症，提高患者满意度。
