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Safety of drainless excision of the submandibular gland

Hae Sang Park1, Sung Min Lee1, Kang Hyun Lee1

  • 1Hallym University, College of Medicine, Chuncheon Sacred Heart Hospital, Department of Otorhinolaryngology-Head and Neck Surgery, Chuncheon, Republic of Korea.

Brazilian Journal of Otorhinolaryngology
|July 3, 2019
PubMed
Abstract

Insights

Submandibular gland excision can be safely performed without surgical drains, reducing complications and enabling earlier patient discharge. This approach offers a safe alternative for patients undergoing this procedure.

Area of Science:

  • Otolaryngology
  • Surgical Innovation
  • Head and Neck Surgery

Background:

  • Percutaneous drains are commonly used after surgical procedures but can lead to complications such as infection and prolonged hospital stays.
  • Minimizing drain usage in surgeries like submandibular gland excision is a key area for improving patient outcomes and reducing healthcare burdens.

Purpose of the Study:

  • To evaluate the safety and efficacy of performing submandibular gland excision without the use of surgical drains.
  • To assess potential postoperative complications and compare them to outcomes with traditional drain usage.

Main Methods:

  • Submandibular gland excision was performed using a transcervical approach in 23 patients.
  • Hemostatic fibrin glue was used for wound closure, omitting saline irrigation and percutaneous drains.
  • Postoperative outcomes including bleeding, facial palsy, seroma, and hospital stay duration were meticulously recorded.

Main Results:

  • The study included 23 patients (60.8% male, mean age 47.6 years).
  • Only two minor complications were observed: superficial bleeding and a delayed seroma.
  • No major surgical complications occurred, with an average hospital stay of 3.17 days and discharge on average 1.17 days post-surgery.

Conclusions:

  • Submandibular gland excision can be safely performed without surgical drains.
  • Eliminating drains simplifies the procedure and facilitates earlier patient discharge, improving the overall surgical experience.
Keywords:
Cola de fibrinaDrainDrenagemExcisão da glândula submandibularFibrin glueSubmandibular gland excision

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