Predictors of Sialocele or Salivary Fistula After Partial Superficial Parotidectomy for Benign Parotid Tumor: A Retrospective Study

Liu, Yanbin; Yuan, Wei; Sun, Haibin; Su, Ming; Kong, Xiangpan; Huang, Xin

doi:10.1016/j.joms.2021.09.013

Cited by 7 publications

(9 citation statements)

References 25 publications

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“…No patients develop salivary fistulas. The overall rate of sialocele/fistula formation was 1.92%; to our knowledge, this rate is among the lowest in the literature 3,4 …”

Section: Discussionmentioning

confidence: 64%

“…In particular, postoperative pressure dressing is the most widely used measure (and probably oldest measure that remains in clinical use) for prevention and treatment of postparotidectomy sialoceles and fistulas. 14 Our results suggest that postoperative pressure dressing has limited efficacy and indicate a need for further research concerning postparotidectomy sialoceles and fistulas.…”

Section: Discussionmentioning

confidence: 78%

“…Importantly, patients in this prospective case series did not receive any specific intraoperative and/or postoperative measures for prevention or treatment of sialocele/fistula (e.g., medication sealant, pressure dressing, and dietary restrictions). In particular, postoperative pressure dressing is the most widely used measure (and probably oldest measure that remains in clinical use) for prevention and treatment of postparotidectomy sialoceles and fistulas 14 . Our results suggest that postoperative pressure dressing has limited efficacy and indicate a need for further research concerning postparotidectomy sialoceles and fistulas.…”

Section: Discussionmentioning

confidence: 85%

“…The overall rate of sialocele/fistula formation was 1.92%; to our knowledge, this rate is among the lowest in the literature. 3,4 Importantly, patients in this prospective case series did not receive any specific intraoperative and/or postoperative measures for prevention or treatment of sialocele/ fistula (e.g., medication sealant, pressure dressing, and dietary restrictions). In particular, postoperative pressure dressing is the most widely used measure (and probably oldest measure that remains in clinical use) for prevention and treatment of postparotidectomy sialoceles and fistulas.…”

Section: Discussionmentioning

confidence: 99%

“…A recent systematic review indicated that the rates of sialocele and salivary fistula formation were 4.5% and 3.1%, respectively 3 . Routine sialocele/fistula preventive measures in parotidectomy are cumbersome to patients; these generally involve pressure dressing against the surgical region for 1–2 weeks 4 and the consumption of a bland diet 5,6 . Treatment modalities are initially conservative and uncomplicated; they include needle aspiration, drainage, pressure dressing, and anticholinergic medication.…”

Section: Introductionmentioning

confidence: 99%

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Extracapsular dissection by the sternocleidomastoid muscle–parotid space approach reduces the risks of postparotidectomy sialocele and salivary fistula

Lan

Wang

et al. 2022

Head & Neck

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Background Postoperative sialoceles and fistulas are frequent surgical complications of parotid tumor resection. Extracapsular dissection by the sternocleidomastoid muscle–parotid space approach (ECD‐SMPSA) is a minimally invasive technique. To our knowledge, the characteristics of sialoceles and fistulas secondary to ECD‐SMPSA have not been reported. Methods This prospective study enrolled 52 patients who underwent ECD‐SMPSA without sialocele/fistula prevention measures. Postoperative sialoceles and fistulas were evaluated during 2 months of follow‐up. Results Among the 52 patients, only one male patient developed a mild sialocele. No salivary fistulas occurred. The overall rate of sialocele/fistula formation was 1.92%. Conclusions When treating clinically benign tumors that involve the sternocleidomastoid muscle–parotid space, ECD‐SMPSA may prevent postoperative formation of sialoceles and salivary fistulas.

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“…No patients develop salivary fistulas. The overall rate of sialocele/fistula formation was 1.92%; to our knowledge, this rate is among the lowest in the literature 3,4 …”

Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 78%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Extracapsular dissection by the sternocleidomastoid muscle–parotid space approach reduces the risks of postparotidectomy sialocele and salivary fistula

Lan

Wang

et al. 2022

Head & Neck

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Sialocele formation after partial parotidectomy: Dependent on remnant parotid exposure

Roh

2023

Head & Neck

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Background This study compared the complete closure versus the exposure of remnant parotid parenchyma in sialocele formation. Methods This study included 151 patients with benign parotid lesions who underwent partial parotidectomy plus the complete closure or exposure of remnant parotid parenchyma. Two surgical methods of closed or exposed parenchyma were alternatively allocated to consecutive patients without randomization and blinding processes. Results Complete closure and exposure of the remnant parotid parenchyma were performed in 81 and 70 patients. Early postoperative complications occurred with temporary events: transient facial weakness, 24 (16%); hematoma, 9 (6%); wound infection, 1 (0.7%) without statistical difference between the two groups (p > 0.1). Postoperative sialocele was more frequently found in the exposure group (n = 15) than the closure group (n = 4; p = 0.003). Conclusions The complete closure of remnant parotid parenchyma is preferred over the exposure of injured parenchymal parenchyma to prevent postparotidectomy sialocele.

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New 3-D Technologies in Salivary Gland Surgery: The Exoscope-Assisted Surgery for Treatment of Benign Tumors of Parotid Gland

De Rinaldis,

Scozzaro,

Calvo

et al. 2024

Indian J Otolaryngol Head Neck Surg

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Predictors of Sialocele or Salivary Fistula After Partial Superficial Parotidectomy for Benign Parotid Tumor: A Retrospective Study

Cited by 7 publications

References 25 publications

Extracapsular dissection by the sternocleidomastoid muscle–parotid space approach reduces the risks of postparotidectomy sialocele and salivary fistula

Extracapsular dissection by the sternocleidomastoid muscle–parotid space approach reduces the risks of postparotidectomy sialocele and salivary fistula

Sialocele formation after partial parotidectomy: Dependent on remnant parotid exposure

New 3-D Technologies in Salivary Gland Surgery: The Exoscope-Assisted Surgery for Treatment of Benign Tumors of Parotid Gland

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