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A Journal on Surgery

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Chirurgia 2010 June;23(3):63-6

language: English

Use of rhytidoplasty techniques in parotidectomy

Klinger M., Villani F., Caviggioli F., Peri A., Ottaviani F.

1 Cattedra di Chirurgia Plastica, Università degli Studi di Milano, IRCCS Istituto Clinico Humanitas, U.O. Chirurgia Plastica 2, Rozzano, Milano
2 Dipartimento di Scienze Cliniche “L. Sacco”, Università degli Studi di Milano, Milano


OBJECTIVE: Plastic surgery techniques are applied to the prevention of some complications of parotidectomy including: facial nerve injury, Frey’s syndrome, unfavourable scarring, retromandibular depression and asymmetric contour defects. The aim of this study is to evaluate the role of rhytidoplasty techniques in parotidectomy.
METHODS: Nine patients (three males, six females; aged 40-72) underwent parotidectomy for parotid neoplasms. A rhytidoplasty technique, including modified rhytidoplasty incision, elevation and imbrication of Superficial Musculo-Aponeurotic System (SMAS) flaps and skin excision, was performed.
RESULTS: During a mean follow up period of five years, nor temporary or permanent deficit of the facial nerve or Frey’s syndrome occurred. All patients were satisfied with postoperative aesthetic appearance.
CONCLUSION: Modified rhytidoplasty approach to parotid surgery with SMAS remodelling and skin excision are a valid procedure with good aesthetical results. These techniques could play a role in the modern conservative management of salivary glands.

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