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Outpatient Parotidectomy: A Retrospective Series.
Margaret C Michel1, Collin F Mulcahy1, Daniel A Benito1
1Division of Otolaryngology-Head & Neck Surgery, George Washington University School of Medicine & Health Sciences, Washington, DC, USA.
The Annals of Otology, Rhinology, and Laryngology
|July 17, 2020
Summary
Outpatient parotidectomy is a safe surgical option with similar complication rates to inpatient procedures. This approach offers a viable alternative for carefully selected patients undergoing head and neck surgery.
Area of Science:
- Head and Neck Surgery
- Surgical Outcomes
- Patient Care Management
Background:
- Recent literature indicates outpatient head and neck surgery is safe and cost-effective.
- Parotidectomy is a common procedure within head and neck surgery.
Purpose of the Study:
- To compare complication types and rates between outpatient and inpatient parotidectomy.
- To assess the safety and viability of outpatient parotidectomy.
Main Methods:
- Retrospective review of 144 patients undergoing parotidectomy from 2011 to 2019.
- Categorization of patients into inpatient or outpatient groups.
- Tabulation of complications (infection, seroma, fistula, hematoma, flap necrosis) and readmission rates.
Main Results:
- No statistically significant difference in complication rates between outpatient and inpatient groups (P = .518).
- Seven of 98 outpatients and two of 46 inpatients experienced complications.
- Tumor size ≥4.62 cm³ was associated with drain placement (P = .044).
Conclusions:
- Outpatient parotidectomy is a safe and viable alternative for select patients.
- This approach may help reduce healthcare costs associated with head and neck surgery.
