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Modified functional superficial parotidectomy with ligation of the major branch of the parotid duct extending to the superficial lobe

Title
Modified functional superficial parotidectomy with ligation of the major branch of the parotid duct extending to the superficial lobe
Author
이장현
Keywords
parotid duct; parotidectomy; salivary leakage
Issue Date
2017-04
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
ANNALS OF PLASTIC SURGERY, v. 78, no. 5, page. 507-510
Abstract
A functional superficial parotidectomy can maintain salivary function by preserving the Stensen duct. However, this technique still brings the possibility of salivary leakage, because major branches of the parotid duct from the resected site do not get ligated. To reduce this complication, this study introduces a modified technique with major branch ligation. From December 2008 to February 2015, 14 patients who underwent superficial parotidectomy were divided into 2 groups. Group A was treated with the modified functional superficial parotidectomy involving the major branch between the superficial lobe and parotid duct. Group B was treated with the conventional superficial parotidectomy without involving the major branch of the parotid duct. The clinical complications, period of Hemovac usage, and surgical duration were noted in each group. Two of 8 patients in group A had a major branch from Stensen duct that was ligated, and there was no evidence of salivary leakage or sialocele in any of the patients of group A, whereas group B contained 2 cases of salivary leakage, one of which became sialocele. Group A had a significantly longer Hemovac maintenance period than group B (P < 0.05), and the duration of surgery was also significantly different between the 2 groups (P < 0.05). Because a solitary major branch of the main parotid duct occasionally extends toward the superficial lobe, our modified technique-functional superficial parotidectomy with ligation of the major branch toward the superficial lobe-is a useful option for treatment of a benign parotid mass in such cases.
URI
https://insights.ovid.com/crossref?an=00000637-201705000-00008https://repository.hanyang.ac.kr/handle/20.500.11754/113668
ISSN
0148-7043; 1536-3708
DOI
10.1097/SAP.0000000000000885
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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