Stanisce L, Lai M, Ahmad N, Spalla TC, Reid LM, Gaughan JP, Koshkareva Y. Outcomes Associated With Fibrin Sealant Use in Lateral Neck Dissections.
OTO Open 2020;
4:2473974X20981021. [PMID:
33709048 PMCID:
PMC7907709 DOI:
10.1177/2473974x20981021]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 11/11/2020] [Indexed: 11/23/2022] Open
Abstract
Objective
To determine whether the use of fibrin sealant tissue adhesives during
lateral neck dissections is associated with a change in postoperative
outcomes.
Study Design
Retrospective cohort.
Setting
Institutionally affiliated tertiary care center.
Methods
Various demographic, disease, and surgical data were collected for patients
who underwent lateral neck dissections. Univariate regression analysis was
performed with the following outcomes: total drain output and duration of
drain placement, as well as incidence of postoperative infection, hematoma,
seroma, chyle leak, and salivary leak.
Results
A total of 133 patients underwent lateral neck dissections. Fibrin sealant
was used in 35% of cases (n = 46). Its use was not associated with
differences in total drain output (P = .77) or the number
of days that the drains were in place (P = .83). On
secondary analysis, the use of fibrin sealant was not associated with a
difference in postoperative incidence of hematoma (P =
.65), seroma (P = .68), chyle leak (P =
.42), or salivary leak (P = .73). These results were
consistent when stratified by the presence of intraoperative complications.
Its use accompanied an average cost of $674 per case.
Conclusions
Fibrin sealant use during lateral neck dissections was not associated with a
reduction in drain output or days that the drains remained in situ. Although
the current study was limited by sample size, fibrin sealant use was not
associated with a decreased risk of postoperative adverse events. The
evidence in this report suggests that the routine use of these products adds
cost without clear benefit.
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