목적: Surgical approach for the parotidectomy has evolved over the years, maintaining completeness of surgery yet minimizing morbidity. Extracapsular dissection (ECD) has been gaining popularity over classic superficial parotidectomy (classic SP) and partial superficial parotidectomy (PSP). We sought to evaluate the safety, utility, and functional outcome of ECD over PSP and classic SP. 방법:Between June 2013 and December 2014, 43 consecutive patients undergoing parotidectomy for benign tumors of the parotid were enrolled. Patients enrolled in ECD, PSP, and classic SP were 12, 15, and 16, respectively. Deep lobe tumors and tumors with suspicion of malignancy were excluded. Whole salivary flow rate was measured pre- and post-operatively. Retrospective medical record analysis was performed. 결과:Mean age was 49 and male to female ratio was 11.4. ECD group contained more men, tumors of the parotid tail, and suspected Warthins tumor. The operative time, amount of drain, and hospital days for ECD was significantly shorter than classic SP (P=.032, P=.008, P=.001), and shorter in trend than PSP (P=.269, P=.078, P=.232). Complications such as temporary facial nerve paralysis, seroma, and Frey syndrome occurred less in the ECD group but was not significant. Post-op basal salivary flow rate for ECD, PSP, and classic SP were 0.39, 0.32, and 0.14 mL/min, respectively (P=.080). Stimulated salivary flow rate remained stable for ECD (pre 1.04 post 1.01) and PSP (pre 1.22 post 1.08) but decreased for classic SP (pre 1.43 post 0.84, P=.260) 결론:ECD is a safe, time-efficient surgical approach and offers early recovery for parotid tumors. Salivary function is better preserved in ECD and PSP compared to classic SP. ECD should be actively considered as a surgical approach for parotid tumors, especially in the parotid tail region, such as the Warthins tumor