Impact of extent of parotid resection on postoperative wound complications: a prospective study

Tuckett, Joel, Glynn, Ronan and Sheahan, Patrick (2015) Impact of extent of parotid resection on postoperative wound complications: a prospective study. Head and Neck, 37 1: 64-68. doi:10.1002/hed.23558


Author Tuckett, Joel
Glynn, Ronan
Sheahan, Patrick
Title Impact of extent of parotid resection on postoperative wound complications: a prospective study
Journal name Head and Neck   Check publisher's open access policy
ISSN 1043-3074
1097-0347
Publication date 2015-01-29
Year available 2014
Sub-type Article (original research)
DOI 10.1002/hed.23558
Open Access Status Not Open Access
Volume 37
Issue 1
Start page 64
End page 68
Total pages 5
Place of publication Hoboken NJ, United States
Publisher John Wiley & Sons
Collection year 2016
Language eng
Formatted abstract
Background
Sialocele and salivary fistula are common complications after parotidectomy. The purpose of the present study was to investigate whether extent of parotidectomy influences the incidence of these complications.

Methods
We conducted a prospective study of 66 consecutive parotidectomies. Cases undergoing skin or bone resection or flap reconstruction were excluded. Patients were divided into 2 groups based on extent of surgery: group 1 (extracapsular dissection or partial superficial parotidectomy); and group 2 (superficial parotidectomy or more extensive resection). The incidence of postoperative sialocele, salivary fistula, and facial weakness was studied.

Results
Eleven patients (16.7%) developed a sialocele, and 4 (6.1%) developed a salivary fistula. Group 1 had a significantly higher incidence of wound complications (p = .008), but a significantly lower incidence of facial weakness (p = .004).

Conclusion
Less extensive parotid resection seems to be associated with a higher incidence of postoperative sialocele and salivary fistula, but is also associated with less postoperative facial nerve dysfunction.
Keyword Parotidectomy
Sialocele
Fistula
Complications
Facial nerve
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
 
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Created: Wed, 30 Mar 2016, 10:19:34 EST by Joel Tuckett on behalf of Medicine - Princess Alexandra Hospital