Management of Aesthetical and Functional Complications after Total Parotidectomy. First Long-Term Experiences with Dermal Matrix Surgimend ® in Patient Affected by Malignant Parotid Tumors.

IF 0.8 Q4 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of Maxillofacial & Oral Surgery Pub Date : 2024-12-01 Epub Date: 2022-07-23 DOI:10.1007/s12663-022-01761-y

Paola Bonavolonta, Giorgio Iaconetta, Giovanni Improda, Cristiana Germano, Gerardo Borriello, Federica Goglia, Vincenzo Abbate, Pasquale Piombino, Luigi Califano, Giovanni Dell'Aversana Orabona

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引用次数: 0

Abstract

Background: This is an observational cohort study on patients affected by malignant parotid tumors treated with total parotidectomy. The aim of our work is to analyze and compare the effects and complications after parotidectomy, using or not SurgiMend ®.

Methods: 40 patients were retrospectively enrolled between September 2014 and June 2020. Basing on the placement of SurgiMend ® for parotid lodge reconstruction, the samples were divided into two groups. Thus, the incidence rate of complications after the surgical procedure was analyzed between the two groups.

Results: Patients in whom SurgiMend ® was used reported a lower rate of complications. The ANOVA test (p = 0.05) revealed a significant difference of Vancouver Scar Scale (VSS) between the two groups, representation as vascularity and pigmentation improvement, changing scar color, scar height reduction, and increased pliability.

Conclusion: Although many techniques are available to fill the parotidectomy defect, improve facial contour and prevent Frey's syndrome, the use of SurgiMend ® matrix is one of most effective and reliable method to address these complications, with the advantage of decreased operative time due to not require an additional surgical donor site.

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腮腺全切除术后美学及功能并发症的处理。恶性腮腺肿瘤患者真皮基质手术的首次长期经验

背景：这是一项对恶性腮腺肿瘤行腮腺全切除术的观察性队列研究。我们的工作目的是分析和比较腮腺切除术后使用或不使用SurgiMend®的效果和并发症。方法：2014年9月至2020年6月回顾性纳入40例患者。根据使用SurgiMend®进行腮腺腔重建的位置，将样本分为两组。分析两组患者术后并发症的发生率。结果：使用SurgiMend®的患者并发症发生率较低。方差分析（p = 0.05）显示两组之间温哥华疤痕量表（VSS）有显著差异，表现为血管和色素沉着改善，疤痕颜色改变，疤痕高度降低，柔韧性增加。结论：虽然有许多技术可用于填补腮腺切除术缺损，改善面部轮廓和预防Frey综合征，但使用SurgiMend®基质是解决这些并发症最有效和可靠的方法之一，其优点是由于不需要额外的手术供区而缩短了手术时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Maxillofacial & Oral Surgery DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

1.90

自引率

0.00%

发文量

138

期刊介绍： This journal offers comprehensive coverage of new techniques, important developments and innovative ideas in Oral and Maxillofacial Surgery. Practice-applicable articles help develop the methods used to handle dentoalveolar surgery, facial injuries and deformities, TMJ disorders, oral cancer, jaw reconstruction, anesthesia and analgesia. The journal also includes specifics on new instruments, diagnostic equipment’s and modern therapeutic drugs and devices. Journal of Oral and Maxillofacial Surgery is recommended for first or priority subscription by the Dental Section of the Medical Library Association. Specific topics covered recently have included: ? distraction osteogenesis ? synthetic bone substitutes ? fibroblast growth factors ? fetal wound healing ? skull base surgery ? computer-assisted surgery ? vascularized bone grafts Benefits to authorsWe also provide many author benefits, such as free PDFs, a liberal copyright policy, special discounts on Elsevier publications and much more. Please click here for more information on our author services.