Tissue sealant versus surgical drain following parotidectomy

Sialocele and salivary fistula are recognised complications of parotid surgery and have been reported to be more common with less extensive parotidectomy. We investigated the efficacy of tissue sealant(Cunniffe et al., 2019) 1 as an alternative to surgical drainage in terms of length of hospital sta...

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Bibliographic Details
Published in:The surgeon (Edinburgh) 2022-08, Vol.20 (4), p.e95-e99
Main Authors: O'Keeffe, Nicholas A., Brophy, Catherine, Sheahan, Patrick
Format: Article
Language:English
Subjects:
Artiss
Drain
Fibrin sealant
Parotidectomy
Sialocele
Wound complications
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Summary:Sialocele and salivary fistula are recognised complications of parotid surgery and have been reported to be more common with less extensive parotidectomy. We investigated the efficacy of tissue sealant(Cunniffe et al., 2019) 1 as an alternative to surgical drainage in terms of length of hospital stay (LOS), cost, and incidence of wound complications. The study comprised a retrospective review of a prospectively maintained parotidectomy database at a single tertiary Head and Neck referral centre between 2009 and 2020. Cases undergoing concomitant neck dissection or major skin resection were excluded. Patients were divided into Group 1 (without tissue sealant), and Group 2 (with tissue sealant). Patients were also divided based on extent of surgery 1) Extracapsular dissection/Partial superficial parotidectomy 2) Superficial/total parotidectomy. Of 202 included patients, there were 146 in Group 1 (143 with drain), and 56 in Group 2 (7 with drain). Compared to Group 1, Group 2 had a significantly shorter LOS (mean 1.4 ± 0.98 versus 3.1 ± 1.29 days, p 
ISSN:1479-666X
2405-5840
DOI:10.1016/j.surge.2021.05.001