The use of bipolar coagulation forceps prevented salivary fistula in patients with parotidectomy: a retrospective study

BMC Oral Health

Yingxi Ye¹  Sainan Li¹  Hanjiang Wu¹  Sheng Zhang¹  Kun Wu¹  Keke Zhu² 

[1] Department of Stomatology, Second Xiangya Hospital of Central South University, Renmin Road, No. 139, 410011, Changsha, Hunan, China;Department of Stomatology, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha, Hunan, China;

关键词: Parotid tumor;    Salivary fistulas;    Parotidectomy;    Bipolar coagulation forceps;   

DOI  :  10.1186/s12903-021-01750-6

来源: Springer

【 摘 要 】

BackgroundSalivary fistula is a relatively common complication in patients who have undergone a parotidectomy. The purpose of this study was to investigate the effects of bipolar coagulation forceps use on salivary fistulas.MethodsFrom March 2015 to June 2020, 177 patients who underwent a parotidectomy in the Department of Oral and Maxillofacial Surgery at the Second Xiangya Hospital of Central South University were recruited. The patients were divided into an experimental group and a control group based on whether bipolar coagulation forceps or sutures were used, respectively.ResultsThe drainage output of the experimental group was significantly lower than that of the control group (p = 0.04). The duration of dressing pressure applied in the experimental group was significantly shorter than that in the control group (p = 0.0003). Moreover, the incidence of salivary fistula in the experimental group (9.8%, 8/82) was notably lower than that in the control group (34.7%, 33/95) (p < 0.0001). In the logistic regression model for salivary fistula development, both the use of bipolar coagulation forceps (p = 0.0021) and drainage output (p = 0.0237) were associated with the presence of salivary fistulas.ConclusionsOur findings indicate that the use of bipolar coagulation forceps decreases the incidence of salivary fistula in patients who have undergone a parotidectomy. The use of bipolar coagulation forceps is a safe, effective, and convenient method to prevent salivary fistulas in patients who undergo a parotidectomy.Trial registration: Current Controlled Trials ChiCTR2100044722, Date: 26/03/2021, Retrospectively registered.

【 授权许可】

CC BY