Abstract
Objective
Parotid surgery is historically performed as an inpatient procedure and suctions drains are predominantly used during surgery. Recent literature provides evidence that outpatient parotid surgery is safe and effective. Our study aims to describe the results of drainless outpatient parotidectomy and outpatient parotidectomy with drain placement and compare their outcomes.
Design
Retrospective cohort study
Participants
Patients that underwent outpatient drain-less parotidectomy and patients that underwent outpatient parotidectomy with post-operative drain placement.
Results
Three hundred eighty patients underwent outpatient parotidectomy with drain placement and 31 patients underwent outpatient drainless parotidectomy in two different hospitals. The incidence of hematoma (drain: 3.1% vs. drainless: 0%, p=1), infection (drain: 14.3% vs. drainless: 13.8%, p=1), and salivary fistula (drain: 5.6% vs. drainless: 3.4, p=1) were comparable between both groups. Seroma or sialocele was more frequently seen in the drain-less group (27.6% vs. 6.2%, p<0.001), but were all managed conservatively. Within ten days after surgery, unplanned visits seemed more frequent in the drain group, although the difference was not statistically significant (14.9% vs. 3.4%, p=0.16).
Conclusions
Outpatient parotid surgery with or without the use of a post-operative drain is safe, practical, and feasible. Same-day discharge with and without drain placement yield comparable outcomes. However, the results need to be interpreted cautiously as this study was limited by a small cohort of parotidectomies without drain placement. Future studies should further compare both approaches.
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