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Safety of drainless excision of the submandibular gland [Segurança na excisão da glândula submandibular sem o uso de drenos]
- Title
- Safety of drainless excision of the submandibular gland [Segurança na excisão da glândula submandibular sem o uso de drenos]
- Authors
- Park H.S.; Lee S.M.; Lee K.H.; Chun M.S.; Kim H.S.
- Ewha Authors
- 김한수
- SCOPUS Author ID
- 김한수
- Issue Date
- 2020
- Journal Title
- Brazilian Journal of Otorhinolaryngology
- ISSN
- 1808-8694
- Citation
- Brazilian Journal of Otorhinolaryngology vol. 86, no. 5, pp. 626 - 631
- Keywords
- Drain; Fibrin glue; Submandibular gland excision
- Publisher
- Elsevier Editora Ltda
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- 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. © 2019 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
- DOI
- 10.1016/j.bjorl.2019.04.010
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
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