Segurança na excisão da glândula submandibular sem o uso de drenos

Translated title of the contribution: Safety of drainless excision of the submandibular gland

Hae Sang Park, Sung Min Lee, Kang Hyun Lee, Mi Sun Chun, Han Su Kim

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Introduction: Percutaneous drains can be associated with several complications, including infection, fistula formation, discomfort and prolonged hospitalization. Objective: The aim of this study was to evaluate the safety of submandibular gland excision without the use of surgical drains. Methods: We analyzed the surgery time, postoperative complications such as bleeding, facial palsy, seroma, and repeat exploration of wounds and duration of the hospital stay. Excision of the submandibular gland via a transcervical approach was undertaken by two surgeons. Prior to wound closure, the skin flap and wound bed were approximated using hemostatic fibrin glue (Greenplast-Q PFS KIT®, GC Greencross, Youngin, Korea). Neither saline irrigation nor insertion of a percutaneous drain were included. Results: A total of 23 patients underwent submandibular gland excision. The study group consisted of 14 men (60.8%) and 9 women (39.2%) (mean age, 47.6 years; range, 24–70 years). There were two patients who had minor complications. One patient showed minor bleeding on the skin incision line immediately postoperatively, and one developed a seroma at 7 days postoperatively. There were no major surgical complications. Total duration of the surgery from skin incision to closure averaged 44.86 minutes. Mean duration of the hospital stay was 3.17 days. Patients were discharged on average at 1.17 days after surgery. Conclusion: The submandibular gland can be safely excised without the use of a surgical drain, therefore allowing early patient discharge.

Translated title of the contributionSafety of drainless excision of the submandibular gland
Original languagePortuguese
Pages (from-to)626-631
Number of pages6
JournalBrazilian Journal of Otorhinolaryngology
Volume86
Issue number5
DOIs
StatePublished - 1 Sep 2020

Keywords

  • Drain
  • Fibrin glue
  • Submandibular gland excision

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