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10.1186_s40463-020-00484-9.pdf 486,00KB
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1000 Titel
  • Outpatient versus inpatient superficial parotidectomy: Clinical and pathological characteristics
1000 Autor/in
  1. Lee, Daniel J. |
  2. Forner, David |
  3. End, Christopher |
  4. Yao, Christopher M. K. L. |
  5. Samargandy, Shireen |
  6. Monteiro, Eric |
  7. Witterick, Ian J. |
  8. Freeman, Jeremy L. |
1000 Verlag
  • SAGE Publications
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-01-01
1000 Erschienen in
1000 Quellenangabe
  • 50(1):10
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s40463-020-00484-9 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7881444/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>Superficial parotidectomy has a potential to be performed as an outpatient procedure. The objective of the study is to evaluate the safety and selection profile of outpatient superficial parotidectomy compared to inpatient parotidectomy.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>A retrospective review of individuals who underwent superficial parotidectomy between 2006 and 2016 at a tertiary care center was conducted. Primary outcomes included surgical complications, including transient/permanent facial nerve palsy, wound infection, hematoma, seroma, and fistula formation, as well as medical complications in the postoperative period. Secondary outcome measures included unplanned emergency room visits and readmissions within 30 days of operation due to postoperative complications.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>There were 238 patients included (124 in outpatient and 114 in inpatient group). There was no significant difference between the groups in terms of gender, co-morbidities, tumor pathology or tumor size. There was a trend towards longer distance to the hospital from home address (111 Km in inpatient vs. 27 in outpatient, mean difference 83 km [95% CI,- 1 to 162 km], <jats:italic>p</jats:italic> = 0.053). The overall complication rates were comparable between the groups (24.2% in outpatient group vs. 21.1% in inpatient, <jats:italic>p</jats:italic> = 0.56). There was no difference in the rate of return to the emergency department (3.5% vs 5.6%, <jats:italic>p</jats:italic> = 0.433) or readmission within 30 days (0.9% vs 0.8%, <jats:italic>p</jats:italic> = 0.952).</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Superficial parotidectomy can be performed safely as an outpatient procedure without elevated risk of complications.</jats:p> </jats:sec><jats:sec> <jats:title>Graphical abstract</jats:title> </jats:sec>
1000 Sacherschließung
lokal Adolescent [MeSH]
lokal Female [MeSH]
lokal Academic Medical Centers [MeSH]
lokal Patient Readmission/statistics
lokal Aged, 80 and over [MeSH]
lokal Aged [MeSH]
lokal Adult [MeSH]
lokal Humans [MeSH]
lokal Postoperative Complications/epidemiology [MeSH]
lokal Retrospective Studies [MeSH]
lokal Middle Aged [MeSH]
lokal Outpatient surgery
lokal Ontario [MeSH]
lokal Feasibility Studies [MeSH]
lokal Ambulatory surgery
lokal Otorhinolaryngologic Surgical Procedures/methods [MeSH]
lokal Outpatients [MeSH]
lokal Male [MeSH]
lokal Ambulatory Surgical Procedures [MeSH]
lokal Parotid Diseases/surgery [MeSH]
lokal Parotid Gland/surgery [MeSH]
lokal Original Research Article
lokal Parotidectomy
lokal Inpatients [MeSH]
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