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To enhance the limited knowledge in this subject, the authors of the current study report quality data of MFI in patients with parotid malignancy with or without SMAS reconstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective review of parotid malignancy patients treated with the MFI over a 5-year period (2015\u20132019) in the 1st ENT University Department, University of Athens, Greece.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We identified five patients with parotid malignancy. We performed MFI parotidectomy in 5\/5 patients and SMAS reconstruction in 2\/5 patients. All tumors were classified as T1N0M0. After a mean follow-up of 43.6\u2009months (minimum, 36; maximum, 55), we noted no recurrence. The patients reported no Frey\u2019s syndrome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The authors of the current study suggest consideration of the MFI approach in parotid malignancy. A MFI approach should at least favor small parotid tumors without neck metastatic disease (T1cN0). Surgeons could also address larger tumors with a MFI approach. Surgeons should reconstruct the parotid lodge with a SMAS advancement flap in tumors not in proximity with the SMAS.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12957-020-1785-3","type":"journal-article","created":{"date-parts":[[2020,1,9]],"date-time":"2020-01-09T16:02:27Z","timestamp":1578585747000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Modified facelift incision and superficial musculoaponeurotic system flap in parotid malignancy: a retrospective study and review of the literature"],"prefix":"10.1186","volume":"18","author":[{"given":"Evangelos I.","family":"Giotakis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4162-4261","authenticated-orcid":false,"given":"Aris I.","family":"Giotakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,1,9]]},"reference":[{"issue":"25","key":"1785_CR1","first-page":"1242","volume":"54","author":"E Appiani","year":"1967","unstructured":"Appiani E. 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