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Background and Objectives The purpose of the present study was to compare the resultsof V-shaped and modified facelift incisions for parotidectomy. Subjects and Method Ninety parotidectomy patients who underwent V-shaped and modifiedfacelift incisions from 2014 to 2018 were enrolled in this study. Patient characteristics, tumorprofiles, surgical outcomes, postoperative complications, and cosmetic results were assessedfor the V-shaped (n=20) and modified facelift (n=70) incision groups. Results The tumor size was significantly larger in the modified facelift incision group thanin the V-shaped incision group (2.6 cm vs. 1.9 cm, p<0.001). There were no significant differencesbetween the two groups regarding other baseline tumor characteristics, operating time,and postoperative complications. Although the results of Vancouver Scar Scale was similar inboth groups, the V-shaped incision group showed higher subjective scar satisfaction scoresthan the modified facelift incision group (9.3 vs. 8.6, p=0.001). Conclusion The results suggest that the V-shaped incision is feasible and can provide bettersubjective scar satisfaction in selected parotidectomy patients without increased complications.

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