Prolonging negative pressure drainage time to prevent salivary fistula after parotidectomy
10.3760/cma.j.cn341190-20221224-01060
- VernacularTitle:延长负压引流时间预防腮腺术后涎瘘的研究
- Author:
Qiaoling GUO
1
;
Xianyang LUO
;
Hanjing SHANGGUAN
;
Aimin CHEN
;
Yuanqin JIANG
Author Information
1. 厦门大学附属第一医院耳鼻咽喉头颈外科，厦门 361003
- Keywords:
Parotid diseases;
Parotid neoplasms;
Postoperative care;
Drainage;
Time factors;
Pain;
Salivary gland fistula
- From:
Chinese Journal of Primary Medicine and Pharmacy
2023;30(12):1794-1797
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of prolonged negative pressure drainage time after parotidectomy and analyze its relationship with the incidence of postoperative salivary fistula.Methods:The clinical data of 94 patients with benign parotid gland tumors who received treatment in the Department of Otolaryngology-Head and Neck Surgery of The First Affiliated Hospital of Xiamen University from July 2021 to June 2022 were retrospectively analyzed. These patients were divided into an observation group and a control group ( n = 47 per group). In the observation group, the negative pressure drainage tube was removed after 1 week of simple negative pressure drainage, while in the control group, conventional local bandaging of the parotid gland was performed for 2 weeks, and negative pressure drainage was given for 2-3 days. Postoperative drainage volume, pain degree, and the incidence of salivary fistula were recorded for each group. Results:The total drainage volume in the observation group was (77.93 ± 23.83) mL, which was significantly greater than (47.06 ± 24.71) mL in the control group ( t = 6.17, P < 0.001). The Visual Analogue Scale score in the observation group was (3.021 ± 1.07) points, which was significantly lower than (7.53 ± 1.27) points in the control group ( t = 18.63, P < 0.001). The incidence of postoperative salivary fistula in the observation group was 2.1% (1/47), which was significantly lower than 17.0% (8/47) in the control group ( χ2 = 4.42, P = 0.035). Conclusion:Simple prolongation of negative pressure drainage time can achieve full drainage, improve the quality of life of patients after parotidectomy and reduce the occurrence of postoperative salivary fistula, which is worthy of clinical promotion.
