ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2026
Minimally invasive vs conventional parotidectomy for benign tumors: a comparative study.
Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo evaluate the short- and long-term complication rates of minimally invasive parotidectomy compared to conventional parotidectomy for benign parotid tumors. MATERIALS AND
methodsA comparative study was conducted at a Tertiary Hospital in Marseille (2017–2024), including a prospective minimally invasive cohort and a retrospective conventional cohort, excluding pleomorphic adenomas.
objectivesTo compare short- and long-term complication rates of minimally invasive versus conventional parotidectomy for benign tumors, and assess patient satisfaction beyond one year.
resultsA total of 115 patients were included. The minimally invasive group had a shorter hospital stay (median 2 vs. 3 days, p < 0.001), more outpatient management (8% vs. 0%, p = 0.033), and less postoperative drainage (68% vs. 100%, p < 0.001). Operative time was significantly reduced (median 50 vs. 142 min, p < 0.001). Conventional surgery was associated with higher rates of wound dehiscence (15.4% vs. 0%, p = 0.005), facial paralysis (18.5% vs. 0%, p = 0.001), lobule hypoesthesia at Day 1 (87.5% vs. 64.6%, p = 0.015), Day 21 (84.2% vs. 57.1%, p = 0.01), and one year (70.3% vs. 38.1%, p = 0.007), and more scar dysesthesia (31.6% vs. 5.4%, p = 0.006). Patients in the minimally invasive group were more satisfied with scar appearance, extent, and visibility (p < 0.001), had less sublobular depression (p < 0.001), and better tolerated the postoperative course (p = 0.016).
conclusionMinimally invasive parotidectomy offers faster recovery, fewer complications, and suggests a superior long-term aesthetic and functional results for selected benign parotid tumors.
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