A.R.M. Center of Otolaryngology Head and Neck Surgery, Assuta Medical Centers, Tel Aviv, Israel. Affiliated with Ben-Gurion University of the Negev, Israel.
A.R.M. Center of Otolaryngology Head and Neck Surgery, Assuta Medical Centers, Tel Aviv, Israel. Affiliated with Ben-Gurion University of the Negev, Israel.
J Craniomaxillofac Surg. 2022 Jun;50(6):493-498. doi: 10.1016/j.jcms.2022.05.002. Epub 2022 May 31.
The aim of this study was to evaluate the impact of drainless parotidectomy using fibrin sealant on length of stay, post-operative seroma and related complications. For this purpose, a retrospective matched case-control series was held in a single academic center. All patients who underwent drainless parotidectomies, including deep lobe tumors and revision surgeries, were compared to matched controls in which a suction drain was inserted. Main outcomes were length of hospital stay and post-operative seroma. A total of 123 patients (41 cases and 82 controls) were included in the study. Fibrin sealant group had higher rates of total parotidectomy compared with the control group (25.0% vs. 10.5%, p = 0.054). Length of stay was significantly shorter in the fibrin sealant group (1.0 ± 0.3 days vs. 1.5 ± 0.6 days, p < 0.001, respectively). No statistically significant difference was found between the fibrin sealant group and the control regarding post-operative seromas (9.8% vs. 14.6%, p = 0.574, respectively), aspirations rate (7.3% vs. 14.6%, p = 0.381), and infection rates (0% vs.3.7%, p = 0.550). In conclusion, drainless parotidectomy does not increase post operative seroma rates and related complications, and can also be implemented for revision surgery.
本研究旨在评估使用纤维蛋白胶进行无引流腮腺切除术对住院时间、术后血清肿和相关并发症的影响。为此，在一家学术中心进行了回顾性匹配病例对照研究。所有接受无引流腮腺切除术的患者，包括深叶肿瘤和翻修手术，与插入引流管的匹配对照组进行比较。主要结局是住院时间和术后血清肿。共有 123 名患者（41 例病例和 82 例对照）纳入研究。纤维蛋白胶组的全腮腺切除术率明显高于对照组（25.0% vs. 10.5%，p = 0.054）。纤维蛋白胶组的住院时间明显缩短（1.0 ± 0.3 天 vs. 1.5 ± 0.6 天，p < 0.001）。纤维蛋白胶组与对照组在术后血清肿（9.8% vs. 14.6%，p = 0.574）、抽吸率（7.3% vs. 14.6%，p = 0.381）和感染率（0% vs. 3.7%，p = 0.550）方面无统计学差异。总之，无引流腮腺切除术不会增加术后血清肿发生率和相关并发症，也可用于翻修手术。
