Hostname: page-component-6766d58669-7fx5l Total loading time: 0 Render date: 2026-05-18T19:43:04.808Z Has data issue: false hasContentIssue false
  • English
  • Français

Predictive factors for post-operative drainage after partial superficial parotidectomy: a case-control study

Published online by Cambridge University Press:  18 August 2015

W-C Chen ,
H-C Chuang ,
Y-Y Su  and
C-Y Chien
W-C Chen
Affiliation:
Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Chang Gung Head and Neck Oncology Group, Cancer Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
H-C Chuang
Affiliation:
Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Chang Gung Head and Neck Oncology Group, Cancer Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
Y-Y Su
Affiliation:
Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Chang Gung Head and Neck Oncology Group, Cancer Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
C-Y Chien*
Affiliation:
Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine Kaohsiung Chang Gung Head and Neck Oncology Group, Cancer Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan
*
Address for correspondence: C-Y Chien, Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, 123 Ta-Pei Road, Niao-Song District, Kaohsiung, 833, Taiwan Fax: +886 7 7313855 E-mail: cychien3965@adm.cgmh.org.tw
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

This study aimed to identify the pattern of post-operative drainage following partial superficial parotidectomy with and without the use of a bipolar vessel-sealing device.

Methods:

Of the 49 patients undergoing parotidectomies, a bipolar vessel-sealing device was used for 20. Predictive factors included in the analysis were age, sex, body weight, operating time, tumour pathology, and diabetes mellitus, hypertension and smoking status.

Results:

In multivariate analyses, body weight (p = 0.026) and non-use of a bipolar vessel-sealing device (p = 0.009) were significantly associated with increased post-operative drainage after 24 hours. There was also a trend towards increased drainage in diabetic patients. Operating times were significantly shorter in the bipolar vessel-sealing device group.

Conclusion:

Although 24-hour drainage appears adequate for most patients, in obese and diabetic individuals there is a risk of requiring increased drainage. Therefore, the drain should be left in place for a longer period. The bipolar vessel-sealing device is safe and time-efficient, and decreases the post-operative drainage period.

Keywords

Parotid NeoplasmsSurgical InstrumentsDrainageBody Weight

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 1020 - 1024
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Johnson, JT, Ferlito, A, Fagan, JJ, Bradley, PJ, Rinaldo, A. Role of limited parotidectomy in management of pleomorphic adenoma. J Laryngol Otol 2007;121:1126–8CrossRefGoogle ScholarPubMed
2Ciuman, RR, Oels, W, Jaussi, R, Dost, P. Outcome, general, and symptom-specific quality of life after various types of parotid resection. Laryngoscope 2012;122:1254–61CrossRefGoogle ScholarPubMed
3Roh, JL, Kim, HS, Park, CI. Randomized clinical trial comparing partial parotidectomy versus superficial or total parotidectomy. Br J Surg 2007;94:1081–7CrossRefGoogle ScholarPubMed
4Witt, RL. The incidence and management of siaolocele after parotidectomy. Otolaryngol Head Neck Surg 2009;140:871–4CrossRefGoogle ScholarPubMed
5Rameh, C, Hourany-Rizk, R, Hamdan, AL, Natout, M, Fuleihan, N. Status of the remaining parotid duct and gland following superficial parotidectomy. Eur Arch Otorhinolaryngol 2008;265:209–15CrossRefGoogle ScholarPubMed
6Kennedy, JS, Stranahan, PL, Taylor, KD, Chandler, JG. High-burst-strength, feedback-controlled bipolar vessel sealing. Surg Endosc 1998;12:876–8CrossRefGoogle ScholarPubMed
7Harold, KL, Pollinger, H, Matthews, BD, Kercher, KW, Sing, RF, Heniford, BT. Comparison of ultrasonic energy, bipolar thermal energy, and vascular clips for the hemostasis of small-, medium-, and large-sized arteries. Surg Endosc 2003;17:1228–30Google ScholarPubMed
8Prokopakis, EP, Lachanas, VA, Helidonis, ES, Velegrakis, GA. The use of the Ligasure Vessel Sealing System in parotid gland surgery. Otolaryngol Head Neck Surg 2005;133:725–8CrossRefGoogle ScholarPubMed
9McGurk, M, Thomas, BL, Renehan, AG. Extracapsular dissection for clinically benign parotid lumps: reduced morbidity without oncological compromise. Br J Cancer 2003;89:1610–13CrossRefGoogle ScholarPubMed
10Guntinas-Lichius, O, Klussmann, JP, Wittekindt, C, Stennert, E. Parotidectomy for benign parotid disease at a university teaching hospital: outcome of 963 operations. Laryngoscope 2006;116:534–40CrossRefGoogle Scholar
11Alexiou, VG, Tsitsias, T, Mavros, MN, Robertson, GS, Pawlik, TM. Technology-assisted versus clamp-crush liver resection: a systematic review and meta-analysis. Surg Innov 2013;20:414–28CrossRefGoogle ScholarPubMed
12Romano, F, Garancini, M, Caprotti, R, Bovo, G, Conti, M, Perego, E et al. Hepatic resection using a bipolar vessel sealing device: technical and histological analysis. HPB (Oxford) 2007;9:339–44CrossRefGoogle ScholarPubMed
13Colella, G, Giudice, A, Vicidomini, A, Sperlongano, P. Usefulness of the LigaSure vessel sealing system during superficial lobectomy of the parotid gland. Arch Otolaryngol Head Neck Surg 2005;131:413–16CrossRefGoogle ScholarPubMed
14Hahn, CH, Sorensen, CH. LigaSure small jaws versus cold knife dissection in superficial parotidectomy. Eur Arch Otorhinolaryngol 2013;270:1489–92CrossRefGoogle ScholarPubMed
15Harris, T, Doolarkhan, Z, Fagan, JJ. Timing of removal of neck drains following head and neck surgery. Ear Nose Throat J 2011;90:186–9CrossRefGoogle ScholarPubMed
16Mofle, PJ, Urquhart, AC. Superficial parotidectomy and postoperative drainage. Clin Med Res 2008;6:68–71CrossRefGoogle ScholarPubMed
17Greenhalgh, DG. Wound healing and diabetes mellitus. Clin Plast Surg 2003;30:37–45CrossRefGoogle ScholarPubMed
18Inoue, H, Ono, K, Masuda, W, Morimoto, Y, Tanaka, T, Yokota, M et al. Gender difference in unstimulated whole saliva flow rate and salivary gland sizes. Arch Oral Biol 2006;51:1055–60CrossRefGoogle ScholarPubMed