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
[1] 彭歆,俞光岩,黄敏娴,等.负压引流与腮腺术后涎瘘[J].现代口腔医学杂志,2001,11(19):455-456. PENG Xin, YU Guangyan, HUANG Minxian, et al. Suction drain and post-parotidectomy fistula[J]. J Modern Stomatol, 2001, 11(19):455-456.
[2] 江瑾,卜令学,袁荣涛,等.腮腺部分切除术后单纯负压预防涎瘘的效果[J].青岛大学医学院学报,2015,51(2):187-188. JIANG Jin, BU Lingxue, YUAN Rongtao, et al. The application of simple negative after partial parotidectomy to prevent salivary fistula[J]. Acta Academiae Med Qingdao Univ, 2015, 51(2):187-188.
[3] 李志强,艾伟健,刘曙光.加压包扎时间对腮腺术后涎瘘发生的影响研究[J].中国实用口腔科杂志,2012,3(5):173-174. LI Zhiqiang, AI Weijian, LIU Shuguang. Influence of different time of pressure bandage on the parotid salivary fistula after parotid operation[J].Chin J Pract Stomatol, 2012, 3(5):173-174.
[4] 王涛,符志勇.负压引流预防腮腺术后涎瘘的作用[J].江西医学院学报,2009,49(6):79-81. WANG Tao, FU Zhiyong. The effect of suction drain to prevent post-parotidectomy salivary fistula[J]. Acta Academiae Med Jiangxi, 2009, 49(6):79-81.
[5] 姜山,邱建忠,王霞,等.不同术式对腮腺良性肿瘤术后持续加压包扎时间的影响[J].潍坊医学院学报,2016,38(5):397-398. JIANG Shan, QIU Jianzhong, WANG Xia, et al. Effect of different surgical methods on parotid benign tumor postoperative continuous pressure dressing time[J]. J Weifang Med College, 2016, 38(5):397-398.
[6] 郭晓川,徐和甜,刘鹏.持续负压吸引结合弹性加压包扎在腮腺术后的应用[J].中国医药科学,2014,11(4):172-176. GUO Xiaochuan, XU Hetian, LIU Peng. Application of continuous negative pressure aspiration and elastic bandage pressure dressing to the healing of post-parotidectomy[J]. Chin Med Pharmacy, 2014,11(4):172-176.
[7] 孙军,李春洁,李博,等.负压引流预防腮腺术后并发症的系统评价[J].上海口腔医学,2014,6(23):362-366. SUN Jun, LI Chunjie, LI Bo, et al.Closed suction drainage to prevent postoperative complications after parotidectomy: a systematic review[J]. Shanghai J Stomatol, 2014, 6(23):362-366.
[8] 李凤君.负压引流在腮腺手术中的应用[J]. 中国药物经济学,2014,5(1):124-125.
[9] 江瑾,贾暮云,蔡圳,等.腮腺浅叶切除术后单纯负压加压预防涎瘘的效果评价[J].上海口腔医学,2014,12(23):759-762. JIANG Jin, JIA Muyun, CAI Zheng, et al. The effect evaluation of suction drainage to prevent fistula after superficial parotidectomy[J].Shanghai J Stomatol, 2014, 12(23):759-762.
[10] 董希银,张文忠,朱学芬,等.应用负压引流结合区域弹性加压包扎术预防腮腺术后涎瘘的临床研究[J].口腔医学,2016,36(8):714-716. DONG Xiyin, ZHANG Wenzhong, ZHU Xuefen, et al. Use o negative pressure drainage combined with regional elastic compression dressing in preventing postoperative salivary fistula[J]. Stomatology, 2016, 36(8):714-716.
[11] Utiashvili NI, Sipkin AM, Misikov VM, et al. Intraparotid injections of botulinum toxin type A for the prevention of salivary fistula formation after surgery on the parotid glands[J]. Toxicon, 2016, 123(1):81-82.
[12] Mandrekar JN, Mandrekar SJ. Systematic reviews and metaanalysis of published studies: an overview and best practices[J]. J Thorac Oncol, 2011, 6(8):1301-1303.
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