Complications of parotid surgery

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The facelift incision and allograft dermis implants have been used in parotid surgery to improve esthetic outcomes. We commonly use these techniques in patients with benign parotid tumors. Forty-two percent of our parotidectomy patients have had facelift incisions, and 50% have had allograft dermis implants for reconstruction. The rate of temporary facial nerve paralysis was 64% for the modified Blair incision and 28% for the facelift incision. We did not have any patients with superficial parotidectomy for benign tumors with long-term facial paralysis. Our rate of Frey's syndrome was low (14%) but did not differ between patients with and without allograft dermis implants. In patients with allograft dermis implants, the initial rate of seroma/salivoma was 45% but decreased to 19% with prolonged drainage and antibiotics. In this patient population, we believe that the risk of complication is outweighed by the improved esthetic outcomes.

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