Endoscope-assisted partial-superficial parotidectomy through a concealed postauricular skin incision.

BACKGROUND

This study evaluated the feasibility of endoscope-assisted partial-superficial parotidectomy through a concealed postauricular skin incision.

METHODS

Endoscope-assisted partial-superficial parotidectomy through a concealed postauricular skin incision was performed for 18 cases of benign tumor located in the superficial lobe of the parotid gland.

RESULTS

All 18 operations were successfully performed endoscopically. This new approach provided safe dissection of the facial nerve and exposed working space. Two patients had transient facial paresis and recovered in 1 and 2 months, respectively. The duration of the procedure was 90 to 120 min. The patients were satisfied with the almost invisible scar.

CONCLUSIONS

Endoscope-assisted partial-superficial parotidectomy is a feasible method for treatment of benign tumors located in the superficial lobe of the parotid gland. The main advantage of this procedure is that the small operative scar is concealed in the postauricular area, resulting in improved cosmesis.