The incidence and management of siaolocele after parotidectomy
(1) To determine if a postparotidectomy sialocele occurs at a higher incidence with a partial superficial parotidectomy compared with a near-complete parotidectomy and (2) to determine if needle aspiration versus observation yield more persistent sialoceles beyond 1 month. A single-surgeon, single-i...
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| Veröffentlicht in: | Otolaryngology-head and neck surgery 2009-06, Vol.140 (6), p.871-874 |
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| container_title | Otolaryngology-head and neck surgery |
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| creator | Witt, Robert L. |
| description | (1) To determine if a postparotidectomy sialocele occurs at a higher incidence with a partial superficial parotidectomy compared with a near-complete parotidectomy and (2) to determine if needle aspiration versus observation yield more persistent sialoceles beyond 1 month.
A single-surgeon, single-institution case series with a chart review.
Comparing 100 consecutive partial superficial parotidectomy procedures and 20 consecutive near-total parotidectomy procedures for formation of a postoperative sialocele. Patients were evaluated at 1 week and 1 month postoperatively. The first 18 sialoceles were treated with one or more needle aspirations. The last 21 sialoceles were treated with observation.
There were 39 sialoceles in the partial superficial parotidectomy group (39/100, 39%) and none in the near-total parotidectomy group (0/20, 0%) (
P < 0.05). All sialoceles resolved by the end of the first postoperative month whether aspirated or not aspirated.
Sialoceles are common postpartial superficial parotidectomy, and they did not occur after near-total parotidectomy. Sialoceles can generally be treated by observation with an expectation of resolution within 1 month. |
| doi_str_mv | 10.1016/j.otohns.2009.01.021 |
| format | Article |
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A single-surgeon, single-institution case series with a chart review.
Comparing 100 consecutive partial superficial parotidectomy procedures and 20 consecutive near-total parotidectomy procedures for formation of a postoperative sialocele. Patients were evaluated at 1 week and 1 month postoperatively. The first 18 sialoceles were treated with one or more needle aspirations. The last 21 sialoceles were treated with observation.
There were 39 sialoceles in the partial superficial parotidectomy group (39/100, 39%) and none in the near-total parotidectomy group (0/20, 0%) (
P < 0.05). All sialoceles resolved by the end of the first postoperative month whether aspirated or not aspirated.
Sialoceles are common postpartial superficial parotidectomy, and they did not occur after near-total parotidectomy. Sialoceles can generally be treated by observation with an expectation of resolution within 1 month.</description><identifier>ISSN: 0194-5998</identifier><identifier>EISSN: 1097-6817</identifier><identifier>DOI: 10.1016/j.otohns.2009.01.021</identifier><identifier>PMID: 19467406</identifier><language>eng</language><publisher>Los Angeles, CA: Mosby, Inc</publisher><subject>Aged ; Analysis of Variance ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Parotid Diseases - epidemiology ; Parotid Gland - injuries ; Parotid Neoplasms - surgery ; Postoperative Complications - epidemiology ; Risk Factors</subject><ispartof>Otolaryngology-head and neck surgery, 2009-06, Vol.140 (6), p.871-874</ispartof><rights>2009 American Academy of Otolaryngology–Head and Neck Surgery Foundation</rights><rights>2009 SAGE Publications</rights><rights>2009 American Association of Otolaryngology‐Head and Neck Surgery Foundation (AAO‐HNSF)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4552-c748c27939d370c7d64d2501cdc5ddc603a6e886d1b3207e28c13dafe961d8cf3</citedby><cites>FETCH-LOGICAL-c4552-c748c27939d370c7d64d2501cdc5ddc603a6e886d1b3207e28c13dafe961d8cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1016/j.otohns.2009.01.021$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1016/j.otohns.2009.01.021$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,1412,21800,27905,27906,43602,43603,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19467406$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Witt, Robert L.</creatorcontrib><title>The incidence and management of siaolocele after parotidectomy</title><title>Otolaryngology-head and neck surgery</title><addtitle>Otolaryngol Head Neck Surg</addtitle><description>(1) To determine if a postparotidectomy sialocele occurs at a higher incidence with a partial superficial parotidectomy compared with a near-complete parotidectomy and (2) to determine if needle aspiration versus observation yield more persistent sialoceles beyond 1 month.
A single-surgeon, single-institution case series with a chart review.
Comparing 100 consecutive partial superficial parotidectomy procedures and 20 consecutive near-total parotidectomy procedures for formation of a postoperative sialocele. Patients were evaluated at 1 week and 1 month postoperatively. The first 18 sialoceles were treated with one or more needle aspirations. The last 21 sialoceles were treated with observation.
There were 39 sialoceles in the partial superficial parotidectomy group (39/100, 39%) and none in the near-total parotidectomy group (0/20, 0%) (
P < 0.05). All sialoceles resolved by the end of the first postoperative month whether aspirated or not aspirated.
Sialoceles are common postpartial superficial parotidectomy, and they did not occur after near-total parotidectomy. Sialoceles can generally be treated by observation with an expectation of resolution within 1 month.</description><subject>Aged</subject><subject>Analysis of Variance</subject><subject>Female</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Parotid Diseases - epidemiology</subject><subject>Parotid Gland - injuries</subject><subject>Parotid Neoplasms - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Risk Factors</subject><issn>0194-5998</issn><issn>1097-6817</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1L7DAUhoNc0fHjH8ilq7trPUnbJAURdPALRDe6DjE51QxtMyYdZf69GTpwd-oqkDzvm8NzCDmhUFCg_HRR-NG_DbFgAE0BtABGd8iMQiNyLqn4Q2ZAmyqvm0buk4MYFwDAuRB7ZD_dc1EBn5HzpzfM3GCcxcFgpgeb9XrQr9jjMGa-zaLTvvMGu_TYjhiypQ5-TLgZfb8-Irut7iIeb89D8nx99TS_ze8fb-7mF_e5qeqa5UZU0jDRlI0tBRhheWVZDdRYU1trOJSao5Tc0peSgUAmDS2tbrHh1ErTlofk39S7DP59hXFUvYtpqE4P6FdRccEkpE8SWE2gCT7GgK1aBtfrsFYU1MabWqjJm9p4U0BV8pZif7f9q5ce7f_QVlQCzibg03W4_lWperx9uLymEhhLcTrFY1KrFn4VhqTrp5nOpwwmsR8Og4rGbbZkXUj2lfXu-4Iv_wGjiA</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Witt, Robert L.</creator><general>Mosby, Inc</general><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200906</creationdate><title>The incidence and management of siaolocele after parotidectomy</title><author>Witt, Robert L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4552-c748c27939d370c7d64d2501cdc5ddc603a6e886d1b3207e28c13dafe961d8cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Analysis of Variance</topic><topic>Female</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Parotid Diseases - epidemiology</topic><topic>Parotid Gland - injuries</topic><topic>Parotid Neoplasms - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Witt, Robert L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Otolaryngology-head and neck surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Witt, Robert L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The incidence and management of siaolocele after parotidectomy</atitle><jtitle>Otolaryngology-head and neck surgery</jtitle><addtitle>Otolaryngol Head Neck Surg</addtitle><date>2009-06</date><risdate>2009</risdate><volume>140</volume><issue>6</issue><spage>871</spage><epage>874</epage><pages>871-874</pages><issn>0194-5998</issn><eissn>1097-6817</eissn><abstract>(1) To determine if a postparotidectomy sialocele occurs at a higher incidence with a partial superficial parotidectomy compared with a near-complete parotidectomy and (2) to determine if needle aspiration versus observation yield more persistent sialoceles beyond 1 month.
A single-surgeon, single-institution case series with a chart review.
Comparing 100 consecutive partial superficial parotidectomy procedures and 20 consecutive near-total parotidectomy procedures for formation of a postoperative sialocele. Patients were evaluated at 1 week and 1 month postoperatively. The first 18 sialoceles were treated with one or more needle aspirations. The last 21 sialoceles were treated with observation.
There were 39 sialoceles in the partial superficial parotidectomy group (39/100, 39%) and none in the near-total parotidectomy group (0/20, 0%) (
P < 0.05). All sialoceles resolved by the end of the first postoperative month whether aspirated or not aspirated.
Sialoceles are common postpartial superficial parotidectomy, and they did not occur after near-total parotidectomy. Sialoceles can generally be treated by observation with an expectation of resolution within 1 month.</abstract><cop>Los Angeles, CA</cop><pub>Mosby, Inc</pub><pmid>19467406</pmid><doi>10.1016/j.otohns.2009.01.021</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0194-5998 |
| ispartof | Otolaryngology-head and neck surgery, 2009-06, Vol.140 (6), p.871-874 |
| issn | 0194-5998 1097-6817 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_67280748 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; SAGE Complete; Alma/SFX Local Collection |
| subjects | Aged Analysis of Variance Female Humans Incidence Male Middle Aged Parotid Diseases - epidemiology Parotid Gland - injuries Parotid Neoplasms - surgery Postoperative Complications - epidemiology Risk Factors |
| title | The incidence and management of siaolocele after parotidectomy |
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