PMID- 36639142
OWN - NLM
STAT- MEDLINE
DCOM- 20230208
LR  - 20230208
IS  - 1651-2251 (Electronic)
IS  - 0001-6489 (Linking)
VI  - 143
IP  - 1
DP  - 2023 Jan
TI  - Transnasal drainage prevents surgical cavity related complications in transoral 
      robotic surgery resected parapharyngeal space tumors.
PG  - 91-99
LID - 10.1080/00016489.2023.2165710 [doi]
AB  - BACKGROUND: There is no evidence about the relationship between surgical cavity 
      drainage and related postoperative complications in transoral robotic surgery 
      (TORS) resected parapharyngeal space (PPS) tumors. OBJECTIVES: To investigate the 
      clinical efficacy and advantage of transnasal PPS drainage to prevent surgical 
      cavity related complications (SCRC) in TORS resected PPS tumors. MATERIAL AND 
      METHODS: Twenty-three patients undergoing TORS for PPS tumors were identified. In 
      the experimental group (EG, 8 patients), the surgical incision was sutured 
      directly and the transnasal drainage tube was placed. In the control group (CG, 
      15 patients), the surgical incision was partially sutured without drainage. The 
      healing grade of surgical incision (HGSI), healing grade of surgical cavity 
      (HGSC), SCRC, and other complications were compared. RESULTS: There were 
      significant statistical differences in postoperative clinical rehabilitation 
      indexes (HGSI/HGSC/SCRC) between the two groups. The comparison results of HGSI 
      and HGSC in the two groups (EG vs CG) were (100% vs 66.7%) and (100% vs 46.7%) 
      respectively. Compared with the EG, eight cases (53.3%) in the CG had 
      postoperative SCRC such as hemorrhage, effusion, and swollen. CONCLUSIONS AND 
      SIGNIFICANCE: For TORS resected PPS tumors, transnasal PPS drainage is an 
      effective and comfortable method to improve postoperative HGSI and HGSC and 
      prevent SCRC.
FAU - Wu, Chunping
AU  - Wu C
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
FAU - Xu, Chengzhi
AU  - Xu C
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
FAU - Lau, Huiching
AU  - Lau H
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
FAU - Shi, Xiaoling
AU  - Shi X
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
FAU - Liu, Quan
AU  - Liu Q
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
FAU - Zhou, Liang
AU  - Zhou L
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
FAU - Tao, Lei
AU  - Tao L
AD  - Department of Otorhinolaryngology Head and Neck Surgery, Eye Ear Nose and Throat 
      Hospital, Fudan University, Shanghai, China.
AD  - Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China.
LA  - eng
PT  - Journal Article
DEP - 20230113
PL  - England
TA  - Acta Otolaryngol
JT  - Acta oto-laryngologica
JID - 0370354
SB  - IM
MH  - Humans
MH  - *Robotic Surgical Procedures/methods
MH  - *Surgical Wound
MH  - Parapharyngeal Space/surgery
MH  - *Pharyngeal Neoplasms/surgery
MH  - Postoperative Complications/etiology/prevention & control
MH  - Drainage
OTO - NOTNLM
OT  - Transoral robotic surgery
OT  - complication
OT  - parapharyngeal space
OT  - transnasal drainage
EDAT- 2023/01/14 06:00
MHDA- 2023/02/09 06:00
CRDT- 2023/01/13 20:12
PHST- 2023/01/14 06:00 [pubmed]
PHST- 2023/02/09 06:00 [medline]
PHST- 2023/01/13 20:12 [entrez]
AID - 10.1080/00016489.2023.2165710 [doi]
PST - ppublish
SO  - Acta Otolaryngol. 2023 Jan;143(1):91-99. doi: 10.1080/00016489.2023.2165710. Epub 
      2023 Jan 13.