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Neck dissections: predicting postoperative drainage.

Andrew C Urquhart1, Richard L Berg

  • 1Department of Otolaryngology-Head and Neck Surgery, Marshfield Clinic, Marshfield, Wisconsin 54449, U.S.A. urquhara@mfldclin.edu

The Laryngoscope
|August 10, 2002
PubMed
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Radical neck dissections result in higher postoperative drainage than selective ones, though drain duration is similar. Intraoperative blood loss strongly predicts drainage volume and length in head and neck cancer surgery.

Area of Science:

  • Otolaryngology
  • Surgical Oncology
  • Head and Neck Surgery

Background:

  • Head and neck dissections for upper aerodigestive tract carcinomas often necessitate drain placement.
  • Postoperative hospitalization duration is significantly influenced by drain management.

Purpose of the Study:

  • To retrospectively compare postoperative drainage and hospitalization duration across different neck dissection types.
  • To investigate the correlation between intraoperative blood loss and postoperative drainage.

Main Methods:

  • Evaluation of radical, modified radical, and selective neck dissections over a 3-year period.
  • Recording of total intraoperative blood loss, and amount and duration of postoperative drainage.

Main Results:

Related Experiment Videos

  • Seventy-nine neck dissections were analyzed.
  • Median drainage volumes were 116.5 mL (selective), 172 mL (modified radical), and 319 mL (radical), with significant differences (P <.001).
  • Drainage correlated with intraoperative blood loss (Spearman correlation = 0.44, P <.001), but drain duration did not differ significantly by dissection type.

Conclusions:

  • Postoperative drainage per day is highest in radical neck dissections and lowest in selective dissections.
  • Drain duration was not significantly affected by the type of neck dissection.
  • Intraoperative blood loss is a robust predictor of postoperative drainage volume and duration.