Abordaje periauricular en las lesiones de la glándula parótida

objetives: to evaluate the possibility of resection of the lesions of the parotid gland by the incisions around the ear (group i) and assess immediate complications arising from this technique, the cosmetics results and the post operative pain, comparing them with the ahead ear - transcervical approach (group ii). methods: in 61 patients of both sex, from july 2006 to july 2009, were subjected to this prospective study, and randomized double blind, evaluating the two groups, categorized group i and ii, making comparisons on post operative by the analog levels of the pain, complications related to the facial nerve, possibility of resection regardless of the histological type, the affected lobe, and finally, the cosmetic satisfaction. results: the 59 patients that completed this study, no statistically significant differences we found in the post operative pain getting. there were no differences also on complications, but if in connection with the post operative scar, the 96 % patients (group i), spoke to us, their satisfaction with the cosmetic outcome compared with 65 % of group ii; that being statistically significant. conclusion: there was no differences as regards the presentation of the pain or the post operating complications in the around ear compared to the ahead ear - transcervical approach. the manifestation of cosmetic satisfaction in around ear were approach, we recommend it because it does not produce technical difficulties, without any distinction of sex, age, histological type, or location into the parotid gland.