{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:52:12Z","timestamp":1777877532597,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T00:00:00Z","timestamp":1754006400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Modified Blair and Facelift incisions are conventional approaches to parotid pathologies. However, they frequently result in prominent scars in cosmetically sensitive regions. A newer alternative, U-shaped incision offers a minimally visible scar along the contour of the pinna while enabling management of parotid pathologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to compare the cosmetic and surgical outcomes between U-shaped incision and conventional incisions including Modified Blair and Facelift incisions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design\/Setting\/Participants\/Intervention or Exposures<\/jats:title>\n                    <jats:p>This is a multicenter case-control study on 16 patients who underwent parotidectomy using U-shaped incisions for parotid tumors between 2019 and 2022. Seventeen disease characteristics-matched controls underwent conventional approach were included, amounting to a total of 33 patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>The surgical outcomes including perioperative events, postoperative complications, and cosmetic outcomes using the Visual Analog Scale (VAS) score of scar satisfaction and the Patient Scar Assessment Scale (PSAS) were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were no significant differences in the age (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.817), tumor diameter (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.398), and pathologies (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.300) among the 2 groups. No significant differences in length of stays (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.087) and resection margin (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.117) were found. U-shaped incision group had a significantly less mean operating time (145\u2009minutes,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001) and mean blood loss (10.45\u2009ml,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.043), compared to the conventional group which had 243\u2009minutes and 43\u2009ml, respectively. A significantly higher overall scar satisfaction based on VAS score in U-shaped incision group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.009) was noted. No significant differences between the 2 groups were found in the overall PSAS score and all the subscores. There were no significant differences in postoperative complications including facial nerve dysfunction (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.520) between the 2 groups except the presence of a significantly higher sialocele in U-shaped incision group (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.011).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present study indicated that U-shaped incision is a safe alternative with better cosmetic outcomes over conventional incisions and comparable surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance<\/jats:title>\n                    <jats:p>Surgeons are encouraged to adopt the U-shaped incision to achieve better cosmetic results while ensuring oncological safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19160216251364764","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T02:09:29Z","timestamp":1756433369000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical Outcomes of U-Shaped Incisions Versus Conventional Incisions in Parotidectomy"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6948-1248","authenticated-orcid":false,"given":"Hei Man Nicole","family":"Fong","sequence":"first","affiliation":[{"name":"Tseung Kwan O Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hon Kwan Andy","family":"Chan","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald","family":"Lai","sequence":"additional","affiliation":[{"name":"United Christian Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric Hui Lun","family":"Lau","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zenon Wing Chi","family":"Yeung","sequence":"additional","affiliation":[{"name":"The Chinese University of Hong Kong, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason Ying Kuen","family":"Chan","sequence":"additional","affiliation":[{"name":"The Chinese University of Hong Kong, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David Chun Man","family":"Yeung","sequence":"additional","affiliation":[{"name":"Prince of Wales Hospital, Hong Kong, Hong Kong"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,28]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/872982"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-009-1148-8"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-198410000-00009"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-03483-6"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23318"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-016-0999-8"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2019.10.012"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811419467"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2021.02.010"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.4103\/ejs.ejs_101_18"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2021.08.030"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.prs.0000172982.43599.d6"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjoms.2018.03.014"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2006.09.008"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26542"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.5606\/kbbihtisas.2013.01878"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3691-9"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154735.61775.cd"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.4317\/medoral.22386"},{"key":"e_1_3_3_21_2","volume-title":"StatPearls","author":"Dulak D","year":"2023","unstructured":"Dulak D, Naqvi IA. 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