title: Initial experience with hemostatic fibrin glue as adjuvant during drainless parotidectomy.
abstract: OBJECTIVE
  To evaluate the use of Hemostatic Fibrin Glue in parotidectomy without the use of surgical drains.
  
  
  METHODS
  Prospective cohort study of 10 patients undergoing parotidectomy. Surgery as a one day admission without the use of surgical drains was planned. The complication and duration of the hospital stay were obtained.
  
  
  METHODS
  Parotidectomy was undertaken by one surgeon. Prior to wound closure, the skin flap and wound bed were approximated using Tisseel tissue sealant. Data regarding the incidence of any complication and the duration of the hospital stay were obtained. Patients were followed to assess surgical outcome and document any complications. The mean follow-up period was 8 months (range 4-12 months).
  
  
  RESULTS
  There were no major surgical complications. Two patients had facial nerve weakness due to adherence of the tumour in the facial nerve, in there was which complete recovery after few months. All patients were discharged the next day. None of the patients felt that the discharge had been premature.
  
  
  CONCLUSIONS
  Parotidectomy can be undertaken safely without the need for surgical drains, therefore, allowing the patients to leave the hospital on the first postoperative day.
authors: King Saud University, ORL & Head and Neck Surgery, King Abdulaziz Street, Riydah 0533301118, Saudi Arabia.
authors: Khalid
authors: K
authors: Al-Qahtani
keywords: Drainless parotidectomy; Fibrin glue; Hematoma; Seroma; Tisseel
references: J Surg Oncol. 1993 May;53(1):17-9
references: 8479192
references: Ann Plast Surg. 1993 Nov;31(5):450-2
references: 7818618
references: J Otolaryngol. 1988 Apr;17(2):74-7
references: 2455069
references: J Craniofac Surg. 1990 Jan;1(1):32-4
references: 2088561
references: Curr Opin Otolaryngol Head Neck Surg. 2003 Aug;11(4):256-60
references: 14515074
references: Otolaryngol Head Neck Surg. 1991 Mar;104(3):293-8
references: 1851274
references: Arch Otorhinolaryngol. 1979;222(4):241-5
references: 383057
references: Aesthetic Plast Surg. 1982;6(4):197-202
references: 6985003
references: J Otolaryngol. 1991 Aug;20(4):276-8
references: 1920583
references: Med Princ Pract. 2004 Mar-Apr;13(2):95-106
references: 14755143
references: Laryngoscope. 1996 Jun;106(6):784-7
references: 8656968
references: Int Surg. 2000 Oct-Dec;85(4):344-6
references: 11589605
references: Head Neck. 1990 Sep-Oct;12(5):430-5
references: 2211105
references: Am J Otolaryngol. 2002 Nov-Dec;23(6):368-73
references: 12430130
references: J Oral Maxillofac Surg. 1990 Aug;48(8):803-7
references: 2374055
references: Ear Nose Throat J. 2003 Mar;82(3):196-7
references: 12696239
references: Rev Laryngol Otol Rhinol (Bord). 2002;123(3):153-7
references: 12577779
references: J Otolaryngol. 1991 Feb;20(1):10-3
references: 2030529
references: Br J Plast Surg. 1994 Jul;47(5):306-9
references: 8087367
references: Cardiovasc Surg. 2003 Aug;11 Suppl 1:23-8
references: 12869985
references: Ann Plast Surg. 1985 Apr;14(4):315-23
references: 3994277
references: Arch Ophthalmol. 1990 Jun;108(6):842-4
references: 2350285
references: Ann Otol Rhinol Laryngol. 2003 May;112(5):410-4
references: 12784978
references: J Otolaryngol. 1988 Dec;17(7):382-4
references: 3230612
references: Br J Oral Maxillofac Surg. 2002 Apr;40(2):138-9
references: 12180206
references: Ann Plast Surg. 2003 Dec;51(6):575-8
references: 14646652
references: Am J Surg. 1991 Oct;162(4):303-5
references: 1659241
references: Arch Otolaryngol Head Neck Surg. 1998 Jun;124(6):665-70
references: 9639477
references: J Otolaryngol. 2006 Feb;35(1):36-9
references: 16527015