Postparotidectomy sialocele: 6-year review of underlying factors

Eliezer C. Kinberg, Jonathan C. Garneau, Rachelle Eljazzar, Eric M. Genden, Marita S. Teng, Brett A. Miles, Joshua Rosenberg, William Lawson, Mike Yao

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Postparotidectomy sialocele is a frustrating challenge. Published rates of postparotidectomy fluid collections range from 6% to 39%. We report our experience of 398 parotidectomies performed over a 6-year period. Methods: A retrospective chart review of parotidectomies performed over a 6-year period was completed. Drain placement, smoking status, tumor size, and postoperative utilization of scopolamine were analyzed. Binary logistical regression and odds ratio calculations were performed. Results: Postparotidectomy sialocele occurred in 25% of patients. Neither suction drain placement nor usage of immediate postoperative scopolamine (in a 22-patient subset) prevented sialocele formation. Smoking status also did not correlate. Increasing resection size was linearly correlated with the risk of sialocele. Conclusion: Drain placement and smoking status do not correlate with sialocele prevention after parotidectomy. Sialocele formation directly correlates with the resection size. These data may guide preoperative counseling; however, additional work is necessary to identify effective prevention mechanisms for postparotidectomy sialocele.

Original languageEnglish
Pages (from-to)745-748
Number of pages4
JournalHead and Neck
Volume44
Issue number3
DOIs
StatePublished - Mar 2022

Keywords

  • general otolaryngology
  • head and neck surgery
  • outcomes
  • parotidectomy
  • sialocele

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