【 文献重点摘要 】

Objective: To systematically review the literature on the modified facelift incision for parotidectomy and to identify the scope and safety of this approach, along with cosmetic outcomes. Where available, a direct comparison was made with Blair’s incision (BI).

Data Sources: Medline, PubMed, Cochrane, and CINHAL databases for English-language studies published between 1960 and 2011 on the facelift approach for parotidectomy.

Review Methods: Exclusion criteria were studies reporting on concurrent facelift, studies that used synthetic material for reconstruction of the surgical bed, descriptive studies, and studies with duplicate patient data. Outcome measures were candidacy for surgery, variations in incision, cosmetic outcomes, surgical time, complication rates, and limitations.

Results: Of the initial 139 studies, 11 studies encompassing 628 patients were included. Male-to-female ratio was 0.49:1, and average age was 47.1 years. In total, 582 surgeries were performed for benign lesions. Only 10 studies specified the extent of surgery: 8 authors used it for performing superficial/partial parotidectomy, and 2 described 17 cases of total parotidectomy. Tumors up to 8 cm have been excised, with a median value of 4 cm. Operative time, formally analyzed in 3 studies, was not significantly different when compared with BI. Complication rates were not increased with this approach. Aesthetic outcomes pertaining to postoperative scar were good, as reported by the patients.

Conclusion: The facelift approach is a cosmetically superior approach to parotid tumors as proven by objective data. Most publications in the literature pertaining to the modified facelift incision for parotidectomy have been in the past decade, lending credence to its rising popularity.

Keywords: parotidectomy, facelift, esthetic, cosmesis

目的：系统回顾腮腺切除术改良式面部除皱术切口的文献，确定该入路的范围和安全性，以及美容效果。在可能的情况下，直接与Blair‘s切口(BI)进行比较。

数据来源：Medline、PubMed、Cochrane和CINHAL数据库，用于1960年至2011年间发表的关于腮腺切除术的面部除皱术的英语研究。

综述方法：排除标准为报道同期整容的研究、使用合成材料重建外科病床的研究、描述性研究和重复患者数据的研究。结果衡量标准是手术的可行性、切口的变化、美容效果、手术时间、并发症发生率和局限性。

结果：在最初的139项研究中，包含628名患者的11项研究包括在内。男女之比为0.49：1，平均年龄47.1岁。总共进行了582例良性病变手术。只有10项研究明确了手术范围：8名作者使用它进行腮腺表面/部分切除术，2名作者描述了17例全腮腺切除术。8厘米以下的肿瘤已被切除，中位数为4厘米。在3项研究中正式分析的手术时间与BI相比没有显著差异。此入路不会增加并发症发生率。据患者报告，术后瘢痕的美学效果良好。

结论：客观数据证明，面部除皱术是治疗腮腺肿瘤的一种美观上更好的入路。在过去的十年里，文献中大多数关于腮腺切除的改良式面部除皱术切口的发表，使人们相信它越来越受欢迎。

关键词：腮腺切除术、整容、美容、美容术