J Otolaryngol Ophthalmol Shandong Univ ›› 2018, Vol. 32 ›› Issue (4): 65-67.doi: 10.6040/j.issn.1673-3770.0.2017.258

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Use of negative pressure drainage for prevention of salivary fistula after parotidectomy: an analysis of 112 cases

LIU Yiping, LIN Yuanchao   

  1. Department of Otolaryngology &Head and Neck Surgery, Bazhong Central Hospital, Bazhong 636000, Sichuan, China
  • Received:2017-06-08 Online:2018-07-20 Published:2018-07-20

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Abstract: Objective To analyze the clinical factors related to post-parotidectomy salivary fistula, and to prevent and treat the complications of parotid gland surgery. Methods From January 2010 to June 2016, 112 patients with parotid diseases were treated using surgical procedures; a negative pressure drainage tube was placed in the wound on the first 3 postoperative days, and compression bandage was used for a short while after extubation for 3 days. The patients were followed up for development of salivary fistula, and symptomatic treatment was administered where necessary. Results Of the 112 patients, 104 healed without infection; 7 developed a mild salivary fistula,, and 1 experienced postoperative cavity hemorrhage and salivary fistula which resolved with therapy. Conclusion Negative pressure drainage can effectively prevent the occurrence of parotid fistula and shorten the period of application of compression bandage, and the postoperative therapeutic effect of traditional compression bandage on the salivary fistula can be confirmed.

Key words: Parotidectomy, Prevention, Sialosyrinx, Treatment, Compression bandage

CLC Number: 

  • R782.7
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