Bonavolonta Paola, Iaconetta Giorgio, Improda Giovanni, Germano Cristiana, Borriello Gerardo, Goglia Federica, Abbate Vincenzo, Piombino Pasquale, Califano Luigi, Dell'Aversana Orabona Giovanni
Maxillofacial Surgery UnitDepartmentof Medicine and SurgeryDepartment of Neurosciences, Reproductive and Odontostomatological Sciences, University Federico II, Via Sergio Pansini 5, 80131 Naples, Italy.
Department of Neurosurgery, University of Salerno, Salerno, Italy.
J Maxillofac Oral Surg. 2024 Dec;23(6):1535-1541. doi: 10.1007/s12663-022-01761-y. Epub 2022 Jul 23.
This is an observational cohort study on patients affected by malignant parotid tumors treated with total parotidectomy. The aim of our work is to analyze and compare the effects and complications after parotidectomy, using or not SurgiMend ®.
40 patients were retrospectively enrolled between September 2014 and June 2020. Basing on the placement of SurgiMend ® for parotid lodge reconstruction, the samples were divided into two groups. Thus, the incidence rate of complications after the surgical procedure was analyzed between the two groups.
Patients in whom SurgiMend ® was used reported a lower rate of complications The ANOVA test ( = 0.05) revealed a significant difference of Vancouver Scar Scale (VSS) between the two groups, representation as vascularity and pigmentation improvement, changing scar color, scar height reduction, and increased pliability.
Although many techniques are available to fill the parotidectomy defect, improve facial contour and prevent Frey's syndrome, the use of SurgiMend ® matrix is one of most effective and reliable method to address these complications, with the advantage of decreased operative time due to not require an additional surgical donor site.
这是一项关于接受全腮腺切除术治疗的腮腺恶性肿瘤患者的观察性队列研究。我们研究的目的是分析和比较使用或不使用SurgiMend®进行腮腺切除术后的效果和并发症。
回顾性纳入2014年9月至2020年6月期间的40例患者。根据是否使用SurgiMend®进行腮腺窝重建将样本分为两组。因此,分析了两组手术并发症的发生率。
使用SurgiMend®的患者并发症发生率较低。方差分析(P = 0.05)显示两组之间温哥华瘢痕量表(VSS)存在显著差异,表现为血管化和色素沉着改善、瘢痕颜色改变、瘢痕高度降低和柔韧性增加。
尽管有许多技术可用于填补腮腺切除术后的缺损、改善面部轮廓和预防Frey综合征,但使用SurgiMend®基质是解决这些并发症最有效和可靠的方法之一,其优点是无需额外的手术供区,从而缩短了手术时间。