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Minimally Invasive Endoscope‐Assisted Parotidectomy: A New Approach
Author(s) -
Chen MuKuan,
Chang ChengChuan
Publication year - 2007
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/mlg.0b013e3181255ead
Subject(s) - medicine , surgery , parotidectomy , scars , endoscope , endoscopy , paresis , facial nerve
Objective: To evaluate the benefits of a new approach, endoscopic parotidectomy through a postauricular skin incision by using an ultrasonically activated scalpel. Study Design: An investigation of the outcome of endoscopic parotidectomy at a tertiary referral medical center. Methods: Fourteen operations for selected patients presenting with benign parotid tail disease were performed via minimally invasive endoscopic resection by a single surgeon (MK Chen). Results: All 14 operations were successfully performed endoscopically, and no conversions to conventional open resection were necessary. The procedures lasted 60 to 160 minutes. Two patients had transient grade II facial paresis. The scars were almost invisible due to their concealed location behind the ear. Conclusions: Minimally invasive endoscope‐assisted parotidectomy is a feasible method for treatment of benign lesions located in the parotid tail. The main advantage of this procedure is that the small operative scar is concealed in the postauricular area resulting in improved cosmetic results.