A modified Z-shaped incision combined with platysma and sternocleidomastoid muscle flaps to improve maxillofacial aesthetics of patients with total parotidectomy

To explore the safety and cosmetic effect of a modified z-shaped incision combined with platysma muscle flap and sternocleidomastoid muscle flap in improving maxillofacial aesthetics for patients with total parotidectomy. 44 patients with total parotidectomy were randomly divided into experimental group(n = 22) and control group(n = 22). The experimental group used a modified z-shaped incision combined with platysma muscle flap and sternocleidomastoid muscle flap to improve maxillofacial aesthetics of patients. The control group received traditional surgery. The differences of surgical duration, hospitalization days, surgical complications and maxillofacial aesthetics between the two groups were compared. The differences between the experimental group and the control group in terms of maxillofacial aesthetics and surgical duration were statistically significant( P < 0.05 ),while there were no statistically significant differences in terms of hospitalization days and surgical complications ( P > 0.05 ). The modified z-shaped incision combined with platysma muscle flap and sternocleidomastoid muscle flap can significantly improve maxillofacial aesthetics of patients with total parotidectomy, and compared with traditional surgery,the safety is consistent,so it is worthy of clinical promotion and application.