دورية أكاديمية
أعرض في EDS

Analysis of Abdominal Dermal-Fat Grafting to Repair Parotidectomy Defects: An 18-Year Cohort Study.

التفاصيل البيبلوغرافية
العنوان: Analysis of Abdominal Dermal-Fat Grafting to Repair Parotidectomy Defects: An 18-Year Cohort Study.
المؤلفون: Gruszczynski NR; Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A., Anderies BJ; Alix School of Medicine, Mayo Clinic, Rochester, Minnesota, U.S.A., Dey JK; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A., Price DL; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A., Moore EJ; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A., Janus JR; Department of Otolaryngology-Head and Neck Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.
المصدر: The Laryngoscope [Laryngoscope] 2020 Sep; Vol. 130 (9), pp. 2144-2147. Date of Electronic Publication: 2020 Jan 07.
نوع المنشور: Evaluation Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 8607378 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1531-4995 (Electronic) Linking ISSN: 0023852X NLM ISO Abbreviation: Laryngoscope Subsets: MEDLINE
أسماء مطبوعة: Publication: <2009- >: Philadelphia, PA : Wiley-Blackwell
Original Publication: St. Louis, Mo. : [s.n., 1896-
مواضيع طبية MeSH: Parotid Gland/*surgery , Postoperative Complications/*surgery , Plastic Surgery Procedures/*methods , Subcutaneous Fat, Abdominal/*transplantation, Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/etiology ; Retrospective Studies ; Treatment Outcome ; Young Adult
مستخلص: Objectives: To assess the outcomes of abdominal dermal-fat grafting following superficial and total parotidectomy.
Methods: A retrospective chart review of parotidectomy patients was performed. Patients were divided into four groups based on surgical extent and grafting status: superficial parotidectomy (SP), superficial parotidectomy with grafting (SPg), total parotidectomy (TP), and total parotidectomy with grafting (TPg). Complication rates and operative times were then compared between surgically matched groups (SP vs. SPg, TP vs. TPg). Complications included graft necrosis, gustatory sweating, first-bite syndrome, infection, hematoma, sialocele, and seroma. Data was analyzed via chi-square and two-sample t testing, logistic regression, and one-way analysis of variance.
Results: The cohort consisted of 330 patients: 106 SP (32.12%), 61 SPg (18.48%), 82 TP (24.85%), and 81 TPg (24.55%). No donor site complications occurred. TPg resulted in seven graft necroses (8.64%), and 22 reported gustatory sweating (27.20% vs. 10 TP patients (12.2%), P = 0.016); SPg resulted in two necroses (3.28%). There were no other statistically significant differences in complication rates. Graft recipients receiving adjuvant radiation were more likely to develop necrosis (odds ratio [OR] 4.60, 95% confidence interval [CI], 1.16-18.27, P = .0194). Patients who developed gustatory sweating were 8.38 years younger (95% CI 2.66-14.10, P = 0.002, follow-up time > 48 days). Grafting did not increase operative times (TP/TPg: mean = 275.91/263.65 minutes, standard error of the mean = 41.96/33.75, P = 0.822).
Conclusion: An abdominal dermal-fat graft is an excellent reconstructive choice for a parotidectomy defect and is not associated with increased complication rates or prolonged operative time.
Level of Evidence: 4 Laryngoscope, 130:2144-2147, 2020.
(© 2020 The American Laryngological, Rhinological and Otological Society, Inc.)
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فهرسة مساهمة: Keywords: Dermal-fat; Frey's; graft; gustatory sweating; parotidectomy
تواريخ الأحداث: Date Created: 20200108 Date Completed: 20201207 Latest Revision: 20221207
رمز التحديث: 20240628
DOI: 10.1002/lary.28466
PMID: 31909842
قاعدة البيانات: MEDLINE
الوصف
تدمد:1531-4995
DOI:10.1002/lary.28466