Salivary fistulas following parotidectomy: follow-up results

a 2015

Salivary fistulas following parotidectomy: follow-up results

GÁL, Břetislav; Tereza HLOŽKOVÁ; Rom KOSTŘICA; Jiří HLOŽEK; Pavel SMILEK et al.

Základní údaje

Originální název

Salivary fistulas following parotidectomy: follow-up results

Autoři

GÁL, Břetislav; Tereza HLOŽKOVÁ; Rom KOSTŘICA; Jiří HLOŽEK; Pavel SMILEK ; Jan HANÁK a Miroslav VESELÝ

Vydání

3rd Congress of European ORL-HNS, 2015

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/15:00084356

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

salivary fistula; parotidectomy

Štítky

EL OK

Změněno: 8. 4. 2016 11:37, Ing. Mgr. Věra Pospíšilíková

Anotace

V originále

Background: Salivary fistulas are a well-known complication that can occur after parotid gland surgery. The fistulas present with repeated leakage of saliva from the surgical wound, particularly after meals. Recently, interposing barriers between the overlying skin flap and the parotid bed, such as the sternocleidomastoid muscle (SCM) flap, have been used to prevent this condition. Purpose: The purpose of this study was demonstrate a technique of SCM flap following partial and total parotidectomy and evaluate the impact of using this flap on incidence of salivary fistula. Material and Methods: This retrospective study included 155 patients who underwent partial and total parotidectomy for benign tumors since January 2007 to December 2011 at the Department of Otorhinolaryngology and Head and Neck Surgery St. Anne's University Hospital Brno. The series of patients was divided into two groups. One group had an SCM flap recontruction (n=35), and the other group did not (n=120). Results: Overal rate of salivary fistulas was 19/155 (12,3%) and the average duration of salivocutaneous flow was 25 days in our study. The incidence of salivary fistulas were significantly lower in SCM flap group 2/35 (5,7%) compared with the no-flap group 16/120 (13,3%). Duration of salivary laekage was similar in both groups 26 vs 25 days (p < 0.05). No statistically significant diference was found between incidence of salivary fistulas and extent of the surgery, in partial parotidectomy group 15/129 (11,6%), in total parotidectomy group 3/26 (11,5%); p < 0.05. Conclusion: The SCM flap is an efficient method for preventing salivary fistula following parotidectomy.

Citovat

GÁL, Břetislav; Tereza HLOŽKOVÁ; Rom KOSTŘICA; Jiří HLOŽEK; Pavel SMILEK; Jan HANÁK a Miroslav VESELÝ. Salivary fistulas following parotidectomy: follow-up results. In 3rd Congress of European ORL-HNS. 2015.

@proceedings{1314787,
   author = {Gál, Břetislav and Hložková, Tereza and Kostřica, Rom and Hložek, Jiří and Smilek, Pavel and Hanák, Jan and Veselý, Miroslav},
   booktitle = {3rd Congress of European ORL-HNS},
   keywords = {salivary fistula; parotidectomy},
   language = {eng},
   title = {Salivary fistulas following parotidectomy: follow-up results},
   year = {2015}
}

TY  - CONF
ID  - 1314787
AU  - Gál, Břetislav - Hložková, Tereza - Kostřica, Rom - Hložek, Jiří - Smilek, Pavel - Hanák, Jan - Veselý, Miroslav
PY  - 2015
TI  - Salivary fistulas following parotidectomy: follow-up results
KW  - salivary fistula
KW  - parotidectomy
N2  - Background: Salivary fistulas are a well-known complication that can occur after parotid gland surgery. The fistulas present with repeated leakage of saliva from the surgical wound, particularly after meals. Recently, interposing barriers between the overlying skin flap and the parotid bed, such as the sternocleidomastoid muscle (SCM) flap, have been used to prevent this condition. Purpose: The purpose of this study was demonstrate a technique of SCM flap following partial and total parotidectomy and evaluate the impact of using this flap on incidence of salivary fistula. Material and Methods: This retrospective study included 155 patients who underwent partial and total parotidectomy for benign tumors since January 2007 to December 2011 at the Department of Otorhinolaryngology and Head and Neck Surgery St. Anne's University Hospital Brno. The series of patients was divided into two groups. One group had an SCM flap recontruction (n=35), and the other group did not (n=120). Results: Overal rate of salivary fistulas was 19/155 (12,3%) and the average duration of salivocutaneous flow was 25 days in our study. The incidence of salivary fistulas were significantly lower in SCM flap group 2/35 (5,7%) compared with the no-flap group 16/120 (13,3%). Duration of salivary laekage was similar in both groups 26 vs 25 days (p < 0.05). No statistically significant diference was found between incidence of salivary fistulas and extent of the surgery, in partial parotidectomy group 15/129 (11,6%), in total parotidectomy group 3/26 (11,5%); p < 0.05. Conclusion: The SCM flap is an efficient method for preventing salivary fistula following parotidectomy.
ER  -

GÁL, Břetislav; Tereza HLOŽKOVÁ; Rom KOSTŘICA; Jiří HLOŽEK; Pavel SMILEK; Jan HANÁK a Miroslav VESELÝ. Salivary fistulas following parotidectomy: follow-up results. In \textit{3rd Congress of European ORL-HNS}. 2015.

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