%0 Journal Article
%T SMAS flap for extracapsular dissection of parotid gland tumors: is it necessary?
%A Becelli R
%A Facchini V
%A Piccirilli A
%A Maesa F
%A Bozza F
%A Giovannetti F
%A Lupi E
%A Covelli E
%A Colangeli W
%J Braz J Otorhinolaryngol
%V 90
%N 5
%D 2024 Sep-Oct 29
%M 38991401
%F 2.474
%R 10.1016/j.bjorl.2024.101462
%X <B>OBJECTIVE: </B>The aim of this retrospective article is to evaluate postoperative outcomes after extracapsular dissection for small benign superficial parotid neoplasms (<3 cm) in patients who received Superficial Musculoaponeurotic System (SMAS) flap and in patients who did not receive it.<BR><B>METHODS: </B>Two groups were created and statistically compared regarding Frey's syndrome and aesthetic satisfaction by data collected through the POI-8 validated questionnaire and through an aesthetic satisfaction scale ranging from 1 to 10. The difference between these two groups was the utilization of SMAS flap. SMAS flap was harvested in one of these two group, meanwhile was not used in the other.<BR><B>RESULTS: </B>The p-value analysis between group 1 and group 2 on these complications, resulted statistically not significant. Also, the aesthetic satisfaction resulted not statistically significant between group 1 and group 2. Gender, localization, and facial palsy resulted statistically correlated with the aesthetic satisfaction (p-value < 0.05).<BR><B>CONCLUSIONS: </B>In conclusion, there is no statistical difference in the use of SMAS flap for benign parotid neoformations of the superficial lobe, with a diameter of less than 3 cm for which extracapsular dissection is adopted as a surgical technique.<BR><B>METHODS: </B>