Research Article
BibTex RIS Cite

Length of hospital stay and complications of mini-facelift versus modified Blair incision for parotid abscess drainage

Year 2022, Volume: 56 Issue: 3, 124 - 129, 30.09.2022
https://doi.org/10.26650/eor.2022989445

Abstract

Purpose To compare the length of hospital stay (LHS) and complications between mini-facelift (MFL) and modified Blair incisions (MBI) for adult patients undergoing parotid abscess drainage (PAD). Materials and Methods A retrospective cohort study design was utilized comprising 2 groups of healthy adult patients (American Society of Anesthesiology [ASA] status I-II) who underwent PAD during a 7-year interval. The primary predictor variable was incision type (MFL vs. MBI). The primary outcomes were LHS and adverse complications resulting from the incision type. Other study variables were grouped into demographic, clinical, microbiological, and therapeutic categories. Difference in the cohort characteristics were analyzed using appropriate descriptive and uni- and bivariate statistics. Multivariate logistic regression was used to measure the effect of the incision type had on the LHS and adverse complication rates. Results The sample included 120 subjects (50% females) with a mean age of 41.7±18.3 years. Patients in the MFL group were hospitalized for 8.2±7.7 days, and the other group stayed in the hospital for 10.2±8 days (adjusted odd ratio [OR] 1.19, 95% confidence interval [95% CI] 0.52 to 2.7; p=0.8). In comparison with MBI, MFL did not significantly increase complication risks in term of facial paralysis (adjusted OR 0.93, 95% CI 0.06 to 15.29; p=1.0) and necessity of re-operation (adjusted OR 0.61, 95% CI 0.1 to 3.8; p=0.7). Conclusion Given no different LHS and complication risks, MFL can replace MBI for ASA I-II adult patients undergoing PAD.

References

  • 1. Ord RA. Acute suppurative parotitis. In: Fonseca RJ, Williams TP, Stewart J-CB, editors. Oral and Maxillofacial Surgery. Volume 5: Surgical Pathology. 1st Ed. Philadelphia: WB Saunders Co., 2000, p. 275-6.
  • 2. Thiede O, Stoll W, Schmäl F. Klinische Aspekte der abszedierenden Parotitis. HNO 2002;50:332-8. doi: 10.1007/s001060100544.
  • 3. Tan VE, Goh BS. Parotid abscess: A five-year review—clinical presentation, diagnosis and management. J Laryngol Otol 2007;121:872-9. doi: 10.1017/S0022215106004166.
  • 4. Sajjadian A, Magge KT. Salivary gland disorders. In: Guyuron B, Eriksson E, Persing J, Chung KC, Disa JJ, Gosain AK, et al, editors. Plastic Surgery. Indications and Practice. 1st Ed. Philadelphia: Saunders, 2009, p. 778-86.
  • 5. Chi TH, Yuan CH, Chen HS. Parotid abscess: A retrospective study of 14 cases at a regional hospital in Taiwan. B-ENT 2014;10:315-8. Available at http://www.b-ent.be/en/parotid-abscess-a-retrospective-study-of-14-cases-at-a-regional-hospital-in-taiwan-16315 (accessed 14 July 2021).
  • 6. Alam M, Hasan SA, Hashmi SF, Singh PK. Facial palsy due to parotid abscess: An unusual complication. Turk Arch Otorhinolaryngol 2016;54:168-71. doi: 10.5152/tao.2016.1671.
  • 7. Kim YY, Lee DH, Yoon TM, Lee JK, Lim SC. Parotid abscess at a single institute in Korea. Medicine (Baltimore) 2018;97:e11700. doi: 10.1097/MD.0000000000011700.
  • 8. Porter SR, Fedele S, Mercadante V. Acute suppurative sialadenitis (suppurative parotitis; bacterial sialadenitis; bacterial parotitis). In: Watkinson JC, Clarke EW, Jones TM, Paleri VP, White N, Woolford T, editors. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. Volume 3: Head and Neck Surgery, Plastic Surgery. 8th Ed. London: CRC Press, 2019, p. 712-4.
  • 9. Theissing J. Eingriffe beim Parotisabszess. In: Theissing J, Rettinger G, Werner JA, editors. HNO-Operationslehre. 4th Ed. Stuttgart: Georg Thieme Verlage, 2006, p. 309.
  • 10. Mydlarz WK, Ha PK, Eisele DW. Bacterial sialadenitis. In: Sataloff RT, Gullane PJ, Goldstein DP, editors. Sataloff’s Comprehensive Textbook of Otolaryngology, Head and Neck Surgery, Vol. 5: Head and Neck Surgery. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd, 2016, p. 395-6.
  • 11. Atiyeh BS, Dibo S, Papazian N, Zgheib E. Overcoming limitations of short scar minimal access cranial suspension facelift for enhanced rejuvenation. J Craniofac Surg 2015;26:800-6. doi: 10.1097/SCS.0000000000001434.
  • 12. Antell DE, May JM, Bonnano MJ, Lee NY. A comparison of the full and short-scar face-lift incision techniques in multiple sets of identical twins. Plast Reconstr Surg 2016;137:1707-14. doi: 10.1097/PRS.0000000000002229.
  • 13. Borges J, Loureiro F. Minilifting technique for treatments of the lower third of the face and anterior cervical neck with tumescent anesthesia. J Cosmet Dermatol 2020;19:1208-10. doi: 10.1111/jocd.13148.
  • 14. Van Pham T, Truong KHTN. Short or minimum incision deep plane/extended deep plane facelift/rhytidectomy. Facial Plast Surg 2020;36:376-85. doi: 10.1055/s-0040-1714118.
  • 15. Guntinas-Lichius O, Eisele DW. Facial Nerve Monitoring. Adv Otorhinolaryngol 2016;78:46-52. doi: 10.1159/000442124.
  • 16. Stankovic P, Wittlinger J, Georgiew R, Dominas N, Hoch S, Wilhelm T. Kontinuierliches intraoperatives Neuromonitoring (cIONM) in der Kopf-Hals-Chirurgie – eine Übersicht. HNO 2020;68:801-9. doi: 10.1007/s00106-020-00823-2.
  • 17. Chiesa-Estomba CM, Larruscain-Sarasola E, Lechien JR, et al. Facial nerve monitoring during parotid gland surgery: A systematic review and meta-analysis, Eur Arch Otorhinolaryngol 2021;278:933-43. doi: 10.1007/s00405-020-06188-0.
  • 18. Dunachie S, Chamnan P. The double burden of diabetes and global infection in low and middle-income countries. Trans R Soc Trop Med Hyg 2019;113:56-64. doi: 10.1093/trstmh/try124.
  • 19. Wormald R, Donnelly M, Timon C. “Minor” morbidity after parotid surgery via the modified Blair incision. J Plast Reconstr Aesthet Surg 2009;62:1008-11. doi: 10.1016/j.bjps.2008.03.017.
  • 20. Riyadh S, Abdulrazaq SS. Assessment of the extracapsular dissection of the benign parotid tumors, extending the literature. J Oral Maxillofac Surg Med Pathol 2018;30:86-90. doi: 10.1016/j.ajoms.2017.09.003.
  • 21. Agrawal J, Shenai PK, Chatra L, Kumar PY. Evaluation of normal range of mouth opening using three finger index: South India perspective study. Indian J Dent Res 2015;26:361-5. doi: 10.4103/0970-9290.167638.
  • 22. Sok M, Zavrl M, Greif B, Srpčič M. Objective assessment of WHO/ECOG performance status. Support Care Cancer 2019;27:3793-8. doi: 10.1007/s00520-018-4597-z.
  • 23. Ganesh R, Leese T. Parotid abscess in Singapore. Singapore Med J 2005;46:553-6. Available at https://www.sma.org.sg/smj/4610/4610a5.pdf (accessed on 14 July 2021).
  • 24. Buaberg S. Comparative study of incision and drainage parotid abscess using long incision and short incision in Yasothon Hospital. Thai J Otolaryngol Head Neck Surg 2019;20:46-56. Available at http://www.rcot.org/2016/assets/pdf/journal-rcot-20-1-2562.pdf (accessed on 14 July 2021).
  • 25. Wadwongtham W, Cutchavaree A. Parotid abscesses: A ten-year review in King Chulalongkorn Memorial Hospital. Chula Med J 1988;42:1069-77. Available at http://www.clmjournal.org/_fileupload/journal/300-2-2.pdf (accessed on 14 July 2021).
  • 26. Kingsley PV, Leader M, Nagodawithana NS, Tipre M, Sathiakumar N. Melioidosis in Malaysia: A review of case reports. PLoS Negl Trop Dis 2016;10:e0005182. doi: 10.1371/journal.pntd.0005182.
  • 27. Scattergood S, Moore S, Prior A, Yusuf GT, Sidhu PS. Percutaneous drainage of a parotid gland abscess under contrast-enhanced ultrasound guidance: A case report. Ultrasound 2018;26:182-6. doi: 10.1177/1742271X18766705.
Year 2022, Volume: 56 Issue: 3, 124 - 129, 30.09.2022
https://doi.org/10.26650/eor.2022989445

Abstract

References

  • 1. Ord RA. Acute suppurative parotitis. In: Fonseca RJ, Williams TP, Stewart J-CB, editors. Oral and Maxillofacial Surgery. Volume 5: Surgical Pathology. 1st Ed. Philadelphia: WB Saunders Co., 2000, p. 275-6.
  • 2. Thiede O, Stoll W, Schmäl F. Klinische Aspekte der abszedierenden Parotitis. HNO 2002;50:332-8. doi: 10.1007/s001060100544.
  • 3. Tan VE, Goh BS. Parotid abscess: A five-year review—clinical presentation, diagnosis and management. J Laryngol Otol 2007;121:872-9. doi: 10.1017/S0022215106004166.
  • 4. Sajjadian A, Magge KT. Salivary gland disorders. In: Guyuron B, Eriksson E, Persing J, Chung KC, Disa JJ, Gosain AK, et al, editors. Plastic Surgery. Indications and Practice. 1st Ed. Philadelphia: Saunders, 2009, p. 778-86.
  • 5. Chi TH, Yuan CH, Chen HS. Parotid abscess: A retrospective study of 14 cases at a regional hospital in Taiwan. B-ENT 2014;10:315-8. Available at http://www.b-ent.be/en/parotid-abscess-a-retrospective-study-of-14-cases-at-a-regional-hospital-in-taiwan-16315 (accessed 14 July 2021).
  • 6. Alam M, Hasan SA, Hashmi SF, Singh PK. Facial palsy due to parotid abscess: An unusual complication. Turk Arch Otorhinolaryngol 2016;54:168-71. doi: 10.5152/tao.2016.1671.
  • 7. Kim YY, Lee DH, Yoon TM, Lee JK, Lim SC. Parotid abscess at a single institute in Korea. Medicine (Baltimore) 2018;97:e11700. doi: 10.1097/MD.0000000000011700.
  • 8. Porter SR, Fedele S, Mercadante V. Acute suppurative sialadenitis (suppurative parotitis; bacterial sialadenitis; bacterial parotitis). In: Watkinson JC, Clarke EW, Jones TM, Paleri VP, White N, Woolford T, editors. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. Volume 3: Head and Neck Surgery, Plastic Surgery. 8th Ed. London: CRC Press, 2019, p. 712-4.
  • 9. Theissing J. Eingriffe beim Parotisabszess. In: Theissing J, Rettinger G, Werner JA, editors. HNO-Operationslehre. 4th Ed. Stuttgart: Georg Thieme Verlage, 2006, p. 309.
  • 10. Mydlarz WK, Ha PK, Eisele DW. Bacterial sialadenitis. In: Sataloff RT, Gullane PJ, Goldstein DP, editors. Sataloff’s Comprehensive Textbook of Otolaryngology, Head and Neck Surgery, Vol. 5: Head and Neck Surgery. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd, 2016, p. 395-6.
  • 11. Atiyeh BS, Dibo S, Papazian N, Zgheib E. Overcoming limitations of short scar minimal access cranial suspension facelift for enhanced rejuvenation. J Craniofac Surg 2015;26:800-6. doi: 10.1097/SCS.0000000000001434.
  • 12. Antell DE, May JM, Bonnano MJ, Lee NY. A comparison of the full and short-scar face-lift incision techniques in multiple sets of identical twins. Plast Reconstr Surg 2016;137:1707-14. doi: 10.1097/PRS.0000000000002229.
  • 13. Borges J, Loureiro F. Minilifting technique for treatments of the lower third of the face and anterior cervical neck with tumescent anesthesia. J Cosmet Dermatol 2020;19:1208-10. doi: 10.1111/jocd.13148.
  • 14. Van Pham T, Truong KHTN. Short or minimum incision deep plane/extended deep plane facelift/rhytidectomy. Facial Plast Surg 2020;36:376-85. doi: 10.1055/s-0040-1714118.
  • 15. Guntinas-Lichius O, Eisele DW. Facial Nerve Monitoring. Adv Otorhinolaryngol 2016;78:46-52. doi: 10.1159/000442124.
  • 16. Stankovic P, Wittlinger J, Georgiew R, Dominas N, Hoch S, Wilhelm T. Kontinuierliches intraoperatives Neuromonitoring (cIONM) in der Kopf-Hals-Chirurgie – eine Übersicht. HNO 2020;68:801-9. doi: 10.1007/s00106-020-00823-2.
  • 17. Chiesa-Estomba CM, Larruscain-Sarasola E, Lechien JR, et al. Facial nerve monitoring during parotid gland surgery: A systematic review and meta-analysis, Eur Arch Otorhinolaryngol 2021;278:933-43. doi: 10.1007/s00405-020-06188-0.
  • 18. Dunachie S, Chamnan P. The double burden of diabetes and global infection in low and middle-income countries. Trans R Soc Trop Med Hyg 2019;113:56-64. doi: 10.1093/trstmh/try124.
  • 19. Wormald R, Donnelly M, Timon C. “Minor” morbidity after parotid surgery via the modified Blair incision. J Plast Reconstr Aesthet Surg 2009;62:1008-11. doi: 10.1016/j.bjps.2008.03.017.
  • 20. Riyadh S, Abdulrazaq SS. Assessment of the extracapsular dissection of the benign parotid tumors, extending the literature. J Oral Maxillofac Surg Med Pathol 2018;30:86-90. doi: 10.1016/j.ajoms.2017.09.003.
  • 21. Agrawal J, Shenai PK, Chatra L, Kumar PY. Evaluation of normal range of mouth opening using three finger index: South India perspective study. Indian J Dent Res 2015;26:361-5. doi: 10.4103/0970-9290.167638.
  • 22. Sok M, Zavrl M, Greif B, Srpčič M. Objective assessment of WHO/ECOG performance status. Support Care Cancer 2019;27:3793-8. doi: 10.1007/s00520-018-4597-z.
  • 23. Ganesh R, Leese T. Parotid abscess in Singapore. Singapore Med J 2005;46:553-6. Available at https://www.sma.org.sg/smj/4610/4610a5.pdf (accessed on 14 July 2021).
  • 24. Buaberg S. Comparative study of incision and drainage parotid abscess using long incision and short incision in Yasothon Hospital. Thai J Otolaryngol Head Neck Surg 2019;20:46-56. Available at http://www.rcot.org/2016/assets/pdf/journal-rcot-20-1-2562.pdf (accessed on 14 July 2021).
  • 25. Wadwongtham W, Cutchavaree A. Parotid abscesses: A ten-year review in King Chulalongkorn Memorial Hospital. Chula Med J 1988;42:1069-77. Available at http://www.clmjournal.org/_fileupload/journal/300-2-2.pdf (accessed on 14 July 2021).
  • 26. Kingsley PV, Leader M, Nagodawithana NS, Tipre M, Sathiakumar N. Melioidosis in Malaysia: A review of case reports. PLoS Negl Trop Dis 2016;10:e0005182. doi: 10.1371/journal.pntd.0005182.
  • 27. Scattergood S, Moore S, Prior A, Yusuf GT, Sidhu PS. Percutaneous drainage of a parotid gland abscess under contrast-enhanced ultrasound guidance: A case report. Ultrasound 2018;26:182-6. doi: 10.1177/1742271X18766705.
There are 27 citations in total.

Details

Primary Language English
Subjects Dentistry, Health Care Administration
Journal Section Original Research Articles
Authors

Poramate Pitak-arnnop 0000-0002-7427-3461

Nattapong Sirintawat This is me 0000-0002-6441-5243

Keskanya Subbalekha This is me 0000-0002-1570-2289

Jean-paul Meningaud This is me 0000-0001-9227-9026

Prim Auychai This is me 0000-0002-6505-3424

Chatpong Tangmanee This is me 0000-0001-6805-2921

Andreas Neff This is me 0000-0001-5865-0020

Publication Date September 30, 2022
Submission Date September 2, 2021
Published in Issue Year 2022 Volume: 56 Issue: 3

Cite

EndNote Pitak-arnnop P, Sirintawat N, Subbalekha K, Meningaud J-p, Auychai P, Tangmanee C, Neff A (September 1, 2022) Length of hospital stay and complications of mini-facelift versus modified Blair incision for parotid abscess drainage. European Oral Research 56 3 124–129.