Indication and safety of Face-Lift approach for parotidectomy

要旨:近年耳下腺腫瘍摘出術において,整容面で優れたFace-Lift approach が頻用されているが,適応には議 論の余地がある。今回,名古屋市立大学病院で,Face-Lift approach を用いて耳下腺腫瘍摘出術を行った 46 例(FL群)と,従来の S字皮膚切開を用いた 84 例(Co 群)で比較検討を行った。患者背景は,FL群では 若年者・女性が多い傾向であった。臨床的因子として腫瘍径に有意差は認めなかったが,FL群では深葉腫瘍 が少ない傾向であった。手術時間や出血量に有意差は認めなかった。また合併症の発生率に有意差は認めな かったが,FL群では唾液漏が多かった。Face-Lift approach による耳下腺腫瘍摘出術は従来法と同等の手術 を行うことができ,術後の整容面では高い満足度を得ることができた。 キーワード:Face-Lift approach,耳下腺腫瘍,手術,整容面

[1]  V. Casoli,et al.  Assessing Improvement of Patient Satisfaction Following Facelift Surgery Using the FACE-Q Scales: A Prospective and Multicenter Study , 2018, Aesthetic Plastic Surgery.

[2]  Jian Sun,et al.  Hidden Scar Dissection of Benign Parotid Gland Tumors via a V-Shaped Minimal Facelift Incision , 2018, The Journal of craniofacial surgery.

[3]  P. Plinkert,et al.  Modified facelift incision for partial parotidectomy versus bayonet-shaped incision: a comparison using visual analog scale , 2016, European Archives of Oto-Rhino-Laryngology.

[4]  S. Choi,et al.  Partial Superficial Parotidectomy via Retroauricular Hairline Incision , 2014, Clinical and experimental otorhinolaryngology.

[5]  A. D'souza,et al.  Facelift Approach for Parotidectomy , 2013, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[6]  Bo Gyung Kim,et al.  The Extended Indication of Parotidectomy Using the Modified Facelift Incision in Benign Lesions: Retrospective Analysis of a Single Institution , 2011, World Journal of Surgery.

[7]  Yu-Fu Chou,et al.  Intra‐auricular modification of facelift incision with sternocleidomastoid flap – a cosmetic approach for parotidectomy: how we do it , 2011, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[8]  B. Bianchi,et al.  Improving esthetic results in benign parotid surgery: statistical evaluation of facelift approach, sternocleidomastoid flap, and superficial musculoaponeurotic system flap application. , 2011, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[9]  H. Sudhoff,et al.  Further anatomical approaches to parotid surgery , 2010, European Archives of Oto-Rhino-Laryngology.

[10]  E. Appiani.  [Handling of a parotidectomy and muscular graft]. , 1967, Prensa medica argentina.

[11]  J. Wasson,et al.  Cervicomastoidfacial versus modified facelift incision for parotid surgery: a patient feedback comparison. , 2010, Annals of the Royal College of Surgeons of England.