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Related Experiment Video

Updated: Jul 4, 2026

Modified Radical Neck Dissection for Cervical Metastasis
06:05

Modified Radical Neck Dissection for Cervical Metastasis

Published on: February 20, 2026

Passive versus active drainage following neck dissection: a non-randomised prospective study.

Martin Druce Batstone1, Derek Lowe, Richard J Shaw

  • 1Maxillofacial Unit, University Hospital Aintree, Lower Lane, Liverpool, L9 7AL, UK. batstonem@hotmail.com

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|June 13, 2008
PubMed
Summary

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Active drains significantly improve neck healing after neck dissection compared to passive drains, with no increased risk to free flap pedicles. This suggests active drains are preferable for better surgical outcomes.

Area of Science:

  • Surgical Oncology
  • Wound Healing
  • Plastic and Reconstructive Surgery

Background:

  • Neck dissection requires drainage to prevent fluid collection and promote healing.
  • Active drains are theorized to enhance skin flap adherence and reduce bacterial migration.
  • Controversy exists regarding active versus passive drains due to concerns about free flap pedicle compromise.

Purpose of the Study:

  • To compare neck healing outcomes between active and passive drains after neck dissection.
  • To evaluate the impact of drain type on delayed wound healing, flap loss, infection, hematoma, and fistula.
  • To assess the safety of active drains in patients undergoing free flap reconstruction.

Main Methods:

  • Prospective, non-randomized study design.

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Last Updated: Jul 4, 2026

Modified Radical Neck Dissection for Cervical Metastasis
06:05

Modified Radical Neck Dissection for Cervical Metastasis

Published on: February 20, 2026

  • Inclusion of consecutive patients undergoing neck dissection over an 8-month period.
  • Data collection on delayed healing, flap loss, infection, hematoma, and fistula for both active and passive drain groups.
  • Main Results:

    • Significantly lower delayed healing rates with active drains (6%) compared to passive drains (54%) (P < 0.001).
    • This difference remained significant across various patient and surgical factors, including free flap status.
    • No instances of free flap loss were attributed to the use of active drains.

    Conclusions:

    • Active drains demonstrate superior efficacy in promoting neck wound healing post-dissection.
    • The study provides evidence supporting the use of active drains, even in free flap reconstruction cases.
    • Active drains are recommended for routine use following neck dissection to optimize patient recovery.