Endoscopic resection of upper neck masses via retroauricular approach is feasible with excellent cosmetic outcomes

Hyoung Shin Lee, Dongwon Lee, Yong Cheol Koo, Hyang Ae Shin, Yoonwoo Koh, Eun Chang Choi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Purpose: In this study, the authors introduce and evaluate the feasibility of endoscopic resection using the retroauricular approach for various benign lesions of the upper neck. Patients and Methods: A retrospective comparative analysis was performed on the clinical outcomes of patients who underwent surgery for upper neck masses as endoscopic resection using the retroauricular approach or conventional transcervical resection at the authors' center from January 2010 through August 2011. The primary outcome was the cosmetic satisfaction of the patients in each group. In addition, the feasibility of the procedure was evaluated by comparing the operation time; hospital stay; amount and duration of drainage; complications such as marginal mandibular nerve, lingual, or hypoglossal nerve palsy; paresthesia of the ear lobe; and wound problems such as hematoma and skin necrosis. Statistical analysis was performed by independent-samples t test and the Fisher exact test, and a P value less than.05 was considered statistically significant. Results: Thirty-six patients underwent endoscopic resection (endo group; 15 men, 21 women; mean age, 38.8 ± 15.0 years) and 40 patients underwent conventional transcervical resection (conventional group; 18 men, 22 women; mean age, 45.1 ± 14.1 years). The operating time in the endo group was longer than in the conventional group (P =.003). No significant difference was observed in the overall perioperative complications between the 2 groups. Cosmetic satisfaction evaluated with a graded scale showed much better results in the endo group (P <.001). Conclusions: Endoscopic resection using the retroauricular approach is feasible for various benign upper neck masses when conducted by an experienced endoscopic surgeon, with excellent cosmetic results.

Original languageEnglish
Pages (from-to)520-527
Number of pages8
JournalJournal of Oral and Maxillofacial Surgery
Volume71
Issue number3
DOIs
Publication statusPublished - 2013 Mar 1

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Cosmetics
Neck
Hypoglossal Nerve Diseases
Lingual Nerve
Mandibular Nerve
Paresthesia
Patient Satisfaction
Hematoma
Ear
Drainage
Length of Stay
Necrosis
Skin
Wounds and Injuries

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

Lee, Hyoung Shin ; Lee, Dongwon ; Koo, Yong Cheol ; Shin, Hyang Ae ; Koh, Yoonwoo ; Choi, Eun Chang. / Endoscopic resection of upper neck masses via retroauricular approach is feasible with excellent cosmetic outcomes. In: Journal of Oral and Maxillofacial Surgery. 2013 ; Vol. 71, No. 3. pp. 520-527.
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abstract = "Purpose: In this study, the authors introduce and evaluate the feasibility of endoscopic resection using the retroauricular approach for various benign lesions of the upper neck. Patients and Methods: A retrospective comparative analysis was performed on the clinical outcomes of patients who underwent surgery for upper neck masses as endoscopic resection using the retroauricular approach or conventional transcervical resection at the authors' center from January 2010 through August 2011. The primary outcome was the cosmetic satisfaction of the patients in each group. In addition, the feasibility of the procedure was evaluated by comparing the operation time; hospital stay; amount and duration of drainage; complications such as marginal mandibular nerve, lingual, or hypoglossal nerve palsy; paresthesia of the ear lobe; and wound problems such as hematoma and skin necrosis. Statistical analysis was performed by independent-samples t test and the Fisher exact test, and a P value less than.05 was considered statistically significant. Results: Thirty-six patients underwent endoscopic resection (endo group; 15 men, 21 women; mean age, 38.8 ± 15.0 years) and 40 patients underwent conventional transcervical resection (conventional group; 18 men, 22 women; mean age, 45.1 ± 14.1 years). The operating time in the endo group was longer than in the conventional group (P =.003). No significant difference was observed in the overall perioperative complications between the 2 groups. Cosmetic satisfaction evaluated with a graded scale showed much better results in the endo group (P <.001). Conclusions: Endoscopic resection using the retroauricular approach is feasible for various benign upper neck masses when conducted by an experienced endoscopic surgeon, with excellent cosmetic results.",
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Endoscopic resection of upper neck masses via retroauricular approach is feasible with excellent cosmetic outcomes. / Lee, Hyoung Shin; Lee, Dongwon; Koo, Yong Cheol; Shin, Hyang Ae; Koh, Yoonwoo; Choi, Eun Chang.

In: Journal of Oral and Maxillofacial Surgery, Vol. 71, No. 3, 01.03.2013, p. 520-527.

Research output: Contribution to journalArticle

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AU - Lee, Hyoung Shin

AU - Lee, Dongwon

AU - Koo, Yong Cheol

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AU - Choi, Eun Chang

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N2 - Purpose: In this study, the authors introduce and evaluate the feasibility of endoscopic resection using the retroauricular approach for various benign lesions of the upper neck. Patients and Methods: A retrospective comparative analysis was performed on the clinical outcomes of patients who underwent surgery for upper neck masses as endoscopic resection using the retroauricular approach or conventional transcervical resection at the authors' center from January 2010 through August 2011. The primary outcome was the cosmetic satisfaction of the patients in each group. In addition, the feasibility of the procedure was evaluated by comparing the operation time; hospital stay; amount and duration of drainage; complications such as marginal mandibular nerve, lingual, or hypoglossal nerve palsy; paresthesia of the ear lobe; and wound problems such as hematoma and skin necrosis. Statistical analysis was performed by independent-samples t test and the Fisher exact test, and a P value less than.05 was considered statistically significant. Results: Thirty-six patients underwent endoscopic resection (endo group; 15 men, 21 women; mean age, 38.8 ± 15.0 years) and 40 patients underwent conventional transcervical resection (conventional group; 18 men, 22 women; mean age, 45.1 ± 14.1 years). The operating time in the endo group was longer than in the conventional group (P =.003). No significant difference was observed in the overall perioperative complications between the 2 groups. Cosmetic satisfaction evaluated with a graded scale showed much better results in the endo group (P <.001). Conclusions: Endoscopic resection using the retroauricular approach is feasible for various benign upper neck masses when conducted by an experienced endoscopic surgeon, with excellent cosmetic results.

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