DOI:

10.37988/1811-153X_2022_3_76

Surgical methods of absorption of soft tissue defects after removal of benign neoplasms of the parotid gland

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Authors

  • T.Z. Chkadua 1, PhD in Medical Sciences, head of the Reconstructive maxillofacial and plastic surgery Division, deputy director for clinical and scientific activities
    ORCID ID: 0000-0001-8270-8843
  • Z.Yu. Visaitova 1, PhD in Medical Sciences, maxillofacial and plastic surgeon of the Maxillofacial surgery Division and the Reconstructive maxillofacial and plastic surgery Division
    ORCID ID: 0000-0002-6029-4691
  • N.V. Vereshchagina 1, maxillofacial surgeon, postgraduate at the Reconstructive maxillofacial and plastic surgery Division
    ORCID ID: 0000-0002-4939-3218
  • 1 Central Research Institute of Dental and Maxillofacial Surgery, 119021, Moscow, Russia

Abstract

Radical operations in the area of the parotid salivary gland for benign neoplasms entail a number of surgical complications, such as Lucy Frey syndrome, long-functioning salivary fistulas, sialocele, soft tissue deformation of the postoperative area. While maintaining facial facial movements, the above conditions can significantly reduce the quality of life and cause certain dissatisfaction with surgical treatment in patients after surgery. In this regard, at the present stage of development of salivary gland surgery, it is necessary to search for additional methods for the prevention of complications in combination with radical methods of surgical treatment. . From 2019 to 2021, 50 patients underwent surgical treatment for benign neoplasms of the parotid salivary glands. According to the method of elimination and prevention of postoperative complications, patients are divided into groups III. I and the patients of the second group underwent simultaneous surgery to remove a tumor of the parotid salivary gland and eliminate the defect at the same time. In group I, treatment was carried out with the inclusion of a flap of the superficial muscular-aponeurotic system of the face (SMAS flap). In patients of the second group, parotidectomy was performed in combination with the use of a flap of the superficial temporoparietal fascia. In the group of patients with III, the zone of the postoperative defect was filled with a fat autograft. Surgical treatment was delayed for patients of this group, a year or more after the removal of benign neoplasms of the parotid salivary gland in third-party institutions. . The terms of rehabilitation in I and II groups did not differ and amounted to 10-14 days. In group III, the desired effect was achieved in 2-3 stages of lipofilling, the period between operations was 3-4 months. . The patients received good aesthetic results in preserving the configuration and symmetry of the contours of the face, and all patients managed to avoid Lucy Frey syndrome and salivary fistulas.

Key words:

parotid salivary gland, SMAS flap, temporal-parietal fascia flap, subtotal resection, parotidectomy, lipofilling

For Citation

[1]
Chkadua T.Z., Visaitova Z.Yu., Vereshchagina N.V. Surgical methods of absorption of soft tissue defects after removal of benign neoplasms of the parotid gland. Clinical Dentistry (Russia).  2022; 25 (3): 76—83. DOI: 10.37988/1811-153X_2022_3_76

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Received

June 20, 2022

Accepted

July 7, 2022

Published on

October 30, 2022