Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy

Objectives: To evaluate the use of Hemostatic Fibrin Glue in parotidectomy without the use of surgical drains. Study design: Prospective cohort study of 10 patients undergoing parotidectomy. Surgery as a one day admission without the use of surgical drains was planned. The complication and duration...

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Main Author: Khalid AL-Qahtani
Format: Article
Language:English
Published: Elsevier 2011-04-01
Series:Saudi Dental Journal
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905210000970
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author Khalid AL-Qahtani
author_facet Khalid AL-Qahtani
author_sort Khalid AL-Qahtani
collection DOAJ
description Objectives: To evaluate the use of Hemostatic Fibrin Glue in parotidectomy without the use of surgical drains. Study design: Prospective cohort study of 10 patients undergoing parotidectomy. Surgery as a one day admission without the use of surgical drains was planned. The complication and duration of the hospital stay were obtained. Methods: Parotidectomy was undertaken by one surgeon. Prior to wound closure, the skin flap and wound bed were approximated using Tisseel tissue sealant. Data regarding the incidence of any complication and the duration of the hospital stay were obtained. Patients were followed to assess surgical outcome and document any complications. The mean follow-up period was 8 months (range 4–12 months). Results: There were no major surgical complications. Two patients had facial nerve weakness due to adherence of the tumour in the facial nerve, in there was which complete recovery after few months. All patients were discharged the next day. None of the patients felt that the discharge had been premature. Conclusions: Parotidectomy can be undertaken safely without the need for surgical drains, therefore, allowing the patients to leave the hospital on the first postoperative day. Keywords: Tisseel, Fibrin glue, Drainless parotidectomy, Seroma, Hematoma
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spelling doaj.art-468d060aa1fe41c2bbd176a5b99697b42022-12-21T17:43:09ZengElsevierSaudi Dental Journal1013-90522011-04-012326771Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomyKhalid AL-Qahtani0Tel.: +966 0533301118.; King Saud University, ORL & Head and Neck Surgery, King Abdulaziz Street, Riydah 0533301118, Saudi ArabiaObjectives: To evaluate the use of Hemostatic Fibrin Glue in parotidectomy without the use of surgical drains. Study design: Prospective cohort study of 10 patients undergoing parotidectomy. Surgery as a one day admission without the use of surgical drains was planned. The complication and duration of the hospital stay were obtained. Methods: Parotidectomy was undertaken by one surgeon. Prior to wound closure, the skin flap and wound bed were approximated using Tisseel tissue sealant. Data regarding the incidence of any complication and the duration of the hospital stay were obtained. Patients were followed to assess surgical outcome and document any complications. The mean follow-up period was 8 months (range 4–12 months). Results: There were no major surgical complications. Two patients had facial nerve weakness due to adherence of the tumour in the facial nerve, in there was which complete recovery after few months. All patients were discharged the next day. None of the patients felt that the discharge had been premature. Conclusions: Parotidectomy can be undertaken safely without the need for surgical drains, therefore, allowing the patients to leave the hospital on the first postoperative day. Keywords: Tisseel, Fibrin glue, Drainless parotidectomy, Seroma, Hematomahttp://www.sciencedirect.com/science/article/pii/S1013905210000970
spellingShingle Khalid AL-Qahtani
Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
Saudi Dental Journal
title Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
title_full Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
title_fullStr Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
title_full_unstemmed Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
title_short Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
title_sort initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy
url http://www.sciencedirect.com/science/article/pii/S1013905210000970
work_keys_str_mv AT khalidalqahtani initialexperiencewithhemostaticfibringlueasadjuvantduringdrainlessparotidectomy