Abstract
Background: Parotid gland surgery (PGS) has to manage the balancing act between sufficient radicality and preservation of functional structures. While many studies evaluate post-therapeutic complication due to different extent of surgery, the current study introduces bipolar dissection (BP) being a fast and safe preparation technique.
Methods: Analysis of clinical parameters (age, sex, tumour entity, treatment modalities, facial nerve palsy, bleeding, saliva fistula and Frey’s syndrome) of 319 consecutively included patients who underwent extracapsular dissection and superficial/total/radical parotidectomy. Subgroup analysis was done according to the preparation technique (cold vs BP).
Results: Facial nerve palsy rate increased with the extent of PGS (p < .0001). There were no differences in the risk of post-operative bleeding, salivary fistula and Frey’s syndrome. BP resulted in a significant reduction of operation time (p = .04), postoperative bleeding (p = .001) and salivary fistula (p = .045) when compared with cold preparation.
Conclusions: Ubiquitous available BP allows fast and safe PGS regardless its extent.
Chinese abstract
背景:腮腺手术(PGS)必须尽量保持在足够大效果和功能结构保存之间的平衡。虽然许多研究探讨由于不同程度的手术导致的治疗后并发症, 但该研究介绍双极解剖(BP), 它是一种快速安全的制备技术。
方法:接受囊外解剖和浅表/全/腮腺切除术的319例患者被纳入研究, 他们的临床参数(年龄、性别、肿瘤实体、治疗方式、面神经麻痹、出血、唾液瘘管和弗雷综合征)得以分析。根据制备技术(冷相对于BP)进行亚组分析。
结果:面神经麻痹率随PGS程度的变化而增加(p <0.0001)。术后出血、唾液瘘管和弗雷综合征的风险之间无差异。与冷制剂相比, BP导致手术时间(p = 0.04)、术后出血(p = 0.001)和唾液瘘(p = 0.045)的发生率显着降低。
结论:常见的BP导致快速安全的腮腺手术, 无论其程度如何。
Disclosure statement
All authors disclose any financial or intellectual conflict of interest.