Division of Otolaryngology-Head & Neck Surgery, George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
Drexel University College of Medicine, Philadelphia, PA, USA.
Ann Otol Rhinol Laryngol. 2021 Mar;130(3):254-261. doi: 10.1177/0003489420938101. Epub 2020 Jul 16.
Recent literature suggests that outpatient head and neck surgery is safe and may decrease costs. This study assesses whether outpatient parotidectomy differs in complication type and rate from inpatient surgery.
Patients who underwent parotidectomy at our institution from 2011 to 2019 were retrospectively reviewed and divided by inpatient or outpatient status. Complications including infection, seroma, salivary fistula, hematoma, and flap necrosis, as well as readmission rates were tabulated. Drain placement, related to tumor size, was also analyzed using a receiver operating curve.
144 patients had available data for analysis. Nine of the 144 patients had complications. Seven of 98 outpatients and two of 46 inpatients had complications. There was no statistically significant difference in complication rate between the two groups ( = .518). Tumor size ≥4.62 cm was associated with drain placement ( = .044).
Outpatient parotidectomy is a safe and viable alternative for carefully selected patients.
近期文献表明，门诊头颈部手术安全，且可能降低成本。本研究评估门诊腮腺切除术与住院手术在并发症类型和发生率方面是否存在差异。
回顾性分析了 2011 年至 2019 年在我院行腮腺切除术的患者，并根据住院或门诊情况进行分组。记录感染、血清肿、涎瘘、血肿和皮瓣坏死等并发症以及再入院率。还使用受试者工作特征曲线分析了与肿瘤大小相关的引流管放置情况。
144 例患者中有 144 例可用于分析。144 例患者中有 9 例出现并发症。98 例门诊患者中有 7 例，46 例住院患者中有 2 例出现并发症。两组并发症发生率无统计学差异（ = .518）。肿瘤大小≥4.62 cm 与引流管放置有关（ = .044）。
对于精心挑选的患者，门诊腮腺切除术是一种安全可行的选择。
