Indian Journal of Otolaryngology and Head and Neck Surgery最新文献

{"title":"Margin Shrinkage in Oral Squamous Cell Carcinoma: A Prospective Observational Study.","authors":"Advait A Vaidya, Samir Gupta, Archana Chirag Buch, Prasant Chandra, Tejus V Nagireddy","doi":"10.1007/s12070-025-05375-x","DOIUrl":"https://doi.org/10.1007/s12070-025-05375-x","url":null,"abstract":"<p><p>Oral squamous cell carcinoma (OSCC) is one the most encountered malignancies by the oncologists in the Indian subcontinent. Adequate margin is the most sought-after goal during resection of OSCC. Margin discrepancy in oral cavity squamous cell carcinoma is frequent cause of disagreement between surgeons and pathologists. To assess the amount of margin of shrinkage, we conducted a prospective observational study in a tertiary care hospital in western state of India over a period of 2 years. 2-reference points for margin were selected and distance between these two points was measured in-situ, after resection, after formalin fixation and after histopathological processing. 44 patients were enrolled in the study. Mean shrinkage of 33.41% was noted. Statistically significant shrinkage was noted in all steps viz. post resection (15.31%), after formalin fixation (7.31%) and after histopathological processing (10.79%). No variation in shrinkage was noted owing to patient or tumour related factors. Significant margin shrinkage occurs in all cases of oral cavity squamous cell carcinoma irrespective of patient or tumour related factors with maximum shrinkage occurring post resection. Pathological margins are 2/3rd of surgical margin and this discrepancy shall be kept in mind while attempting wide local resection.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1542-1551"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"<b>Assessment of Eustachian Tube Dysfunction in Tubotympanic Type of Chronic Otitis Media Patients</b>.","authors":"Sneha Unnikrishnan, C Shilpa, S Sandeep","doi":"10.1007/s12070-025-05369-9","DOIUrl":"https://doi.org/10.1007/s12070-025-05369-9","url":null,"abstract":"<p><p>To detect the prevalence of eustachian tube dysfunction in tubotympanic type of chronic otitis media. To correlate eustachian tube dysfunction with surgical outcome of tympanoplasty. This observational study involved 79 patients diagnosed with inactive tubotympanic chronic suppurative otitis media who were planned for type-1 tympanoplasty. The Eustachian tube function preoperatively assessed using the saccharin test, measuring saccharin perception time through otoendoscopic examination. The results were then correlated with graft uptake following tympanoplasty during the follow-up period. This study was conducted over 18 months and sample size was 79. A 68% prevalence of eustachian tube dysfunction based on saccharin perception time was noted. In gross eustachian tube dysfunction category, 8.8% failure rate of tympanoplasty was noted at 3 months follow up.A 1.26% failure rate was noted in partial tube dysfunction. At 6 months follow up period, we noted a graft failure in both gross and partial eustachian dysfunction category which was 11.9% and 3.79% respectively. A correlation among post-operative graft uptake and eustachian tube dysfunction was noted in our study but this was not statistically significant. From our study we noted a high prevalence of eustachian tube dysfunction in CSOM tubotympanic type. Eustachian tube dysfunction is a very common entity that has to be evaluated prior to tympanoplasty surgery. Thus an easy, effective, and cost-effective method like the saccharin test can be used to evaluate eustachian tube function and the surgical outcomes of tympanoplasty as the eustachian tube plays crucial role in middle ear clearance and ventilation. This can guide us to take corrective measures to address the eustachian tube dysfunction.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1513-1520"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909336/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of Video-stroboscopy Vs Video-Laryngoscopy in Hoarseness of Voice.","authors":"Arnav Bharatendu Kapoor, Nishikanta Pradhan, Shubham Agrawal, Ananya Patra, Pradipt Ranjan Sahoo, Kabikanta Samantaray","doi":"10.1007/s12070-025-05319-5","DOIUrl":"https://doi.org/10.1007/s12070-025-05319-5","url":null,"abstract":"<p><p>Some pathologies of the larynx maybe missed on video-laryngoscopy which can be diagnosed on video-stroboscopy. Moreover, some pathologies can be diagnosed earlier, preventing reduced voice-related quality of life. Since the effective treatment of laryngeal pathologies is based on the correct diagnosis, this study was conducted to evaluate the added value of video-stroboscopy over video-laryngoscopy in patients with hoarseness of voice and to identify the pathologies in which video-stroboscopy has the maximum benefit over video-laryngoscopy. Prospective observational study of 76 patients presenting to out-patient department of otorhinolaryngology of our centre presenting with hoarseness of voice and fulfilling the inclusion criteria. Patients were subjected to thorough history taking and examination followed by video-laryngoscopy and video-stroboscopy by the same examiner. There was an addition in diagnosis on video-stroboscopy in 26 (34.21%) patients and a change in diagnosis in 29 (38.16%) patients. The maximum frequency of addition in diagnosis was seen in post-op vocal fold fibrosis (100%), Vocal nodules (66.66%) and the maximum frequency of change in diagnosis was seen in Presbylarynges, Rienke's Edema and Muscle tension dysphonia (100% each). Early vocal nodule (54.54%) was the most common diagnosis reached on video-stroboscopy where video-laryngoscopy was inconclusive. Video-stroboscopy is an effective modality for the diagnosis of vocal fold lesions and must be used in conjunction with video-laryngoscopy for evaluation of patients presenting with hoarseness of voice of early diagnosis and treatment. In this study we have identified pathologies that benefit the maximum from the use of video-stroboscopy over video-laryngoscopy.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1271-1275"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909337/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profiling of the Functional Status of Hearing Impaired Children Using Cochlear Implant in the Indian Scenario- an ICF Perspective.","authors":"Swapna Sebastian, Anjali Abraham, Mary John, Mahasampath Gowri, John Mathew","doi":"10.1007/s12070-025-05349-z","DOIUrl":"https://doi.org/10.1007/s12070-025-05349-z","url":null,"abstract":"<p><p>The aim of the study was to assess the functional outcome of children who underwent Auditory verbal therapy followed by cochlear implantation using The Parents' views and experiences with pediatric cochlear implant questionnaire (PVECIQ). Hearing impaired children who have completed minimum of 5 years of auditory verbal training (AVT) after cochlear implantation was taken up for the study. There were totally 30 males and 20 females, the average age at implantation for these children ranged from 1 year to 5yrs. The Parents' views and experiences with pediatric cochlear implant questionnaire (PVECIQ) was administered by interviewing the parents after taking a written informed consent. The mean scores for each statement and its standard deviation were found out. Distribution across the five response categories was also analysed for each statement to identify the strength of opinion.The percentage of responses under each response category was also calculated. The present study evaluated both hearing and non-hearing aspects of hearing loss under the perspective of ICF. The study has given feedback on the areas where good outcome is shown after use of cochlear implant for 5 years and also the areas where they still experience difficulties and need ongoing support. Even though the children acquired language to a degree capable of communication with others in the society, the speech intelligibility has been a concern for parents. Since CI does not restore normal anatomy of hearing, Children using CI will require ongoing professional and economical support throughout their life, tailored to individual needs of the child to have a better quality of life.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1386-1391"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Scar Cosmesis and Quality of Life After Thyroid Surgery: A Retrospective Study.","authors":"Surjeet Dwivedi, Sanjay Kumar, Vishal Saxena, Angshuman Dutta, Yateendra Dinker, Sabita Dwivedi, Sumantra Shekher Majumdar, Amar Varshaney, Mandeep Sharma","doi":"10.1007/s12070-025-05368-w","DOIUrl":"https://doi.org/10.1007/s12070-025-05368-w","url":null,"abstract":"<p><strong>Introduction: </strong>Thyroid surgery is a common procedure for managing benign and malignant conditions. While the primary focus is on treating the underlying pathology, visible neck scars can significantly impact patients' self-esteem and quality of life (QoL). A comprehensive assessment of scar cosmesis alongside functional outcomes is essential. Despite the availability of tools such as the Vancouver Scar Scale (VSS) and Patient and Observer Scar Assessment Scale (POSAS), studies combining subjective and objective scar assessments with thyroid-specific and general QoL measures remain limited.</p><p><strong>Methodology: </strong>This retrospective study evaluated scar cosmesis and QoL in 100 thyroidectomy patients treated between January 2021 and December 2023. Subjective satisfaction was measured using the Visual Analog Scale (VAS), and objective assessments were performed using VSS and POSAS. QoL was assessed using validated instruments, ThyPRO and SF-36, to capture thyroid-specific and general QoL domains. Statistical analyses included t-tests, Pearson correlation, and multivariate regression.</p><p><strong>Results: </strong>The mean VAS score was 7.8, with 85% of patients reporting satisfaction with their scars. Objective evaluations yielded mean VSS and POSAS scores of 5.2 and 6.8, respectively. Younger patients (VAS = 8.2 for ≤ 50 years) and females (VAS = 8.0) reported higher satisfaction with scar outcomes. QoL improved significantly, with physical functioning increasing from 65.3 to 76.8 (<i>p</i> < 0.01) and emotional well-being from 61.2 to 70.1 (<i>p</i> < 0.05). Significant correlations were observed between scar cosmesis scores and QoL domains, such as physical functioning (r = 0.42). Sensory changes, including numbness around the scar area, were reported in 12% of patients.</p><p><strong>Conclusion: </strong>Integrating subjective and objective measures, including ThyPRO and SF-36, provides a complete evaluation of scar cosmesis and QoL outcomes after thyroidectomy. Key predictors of higher satisfaction included younger age, female gender, and superior scar quality. These findings highlight the importance of addressing both aesthetic and functional outcomes in thyroid surgery to enhance patient satisfaction and QoL.</p><p><strong>Supplementary information: </strong>The online version contains supplementary material available at 10.1007/s12070-025-05368-w.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1505-1512"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of Injury to External Branch of Superior Laryngeal Nerve as Diagnosed by Acoustic Voice Analysis After Thyroidectomy.","authors":"Karandeep Singh, Ishwar Singh, Ravi Meher, Jyoti Kumar, Ashish Gopal, Anjan Sahoo, Raman Sharma","doi":"10.1007/s12070-025-05351-5","DOIUrl":"https://doi.org/10.1007/s12070-025-05351-5","url":null,"abstract":"<p><p>Voice related complications are a major cause of morbidity in patients undergoing thyroidectomy in the postoperative period in the modern world. EBSLN being a primary tensor of vocal cords via cricothyroid muscle is important to produce high pitched sound above 150 Hz and it is essential for professional voice users. This nerve is prone to injury during surgery because of its proximity to the upper pole of the thyroid and complex anatomical relationship with the superior thyroid vessels. We aimed to study the occurrence of injury to EBSLN during surgery via acoustic voice analysis and comparing it with the pre-operative values. Patients of benign thyroid swelling with Bethesda type I to III and normal thyroid function tests were taken up for surgery. Pre- and post-operatively acoustic voice analysis was done in a soundproof room. Fundamental frequency (F0), amplitude perturbation (shimmer), fundamental frequency perturbation (jitter), and harmonic/noise ratio (HNR) were calculated and analysed. Intraoperatively, EBSLN was identified in Joll's triangle and preserved. The acoustic voice analysis was performed on the postoperative day one and seven, and compared with the pre-operative values. The mean age of patients was 35.73 ± 9.13 years. Most common age group 36-45 with male to female ratio being 1:9. Cystic colloid goitre was seen in 85% patients. F0 decreased from the preoperative value (221.447 ± 45.981 Hz) on postoperative day one (217.283 ± 46.323 Hz), p-value < 0.01 and on day 7, F0 (219.872 ± 45.096 Hz) <i>p</i> = 0.46. Pitch sigma increase (<i>p</i> < 0.01) from pre-operative (16.791 ± 14.716 Hz) to postoperative day 1 (18.454 ± 15.088 Hz) and on day 7 (17.79 ± 15.315 Hz), <i>p</i> = 0.09. Jitter (%) pre-operatively (0.46%±0.17%), post-operative day 1 (0.45%±0.21%, <i>p</i> = 0.05) and postoperative day 7 (0.44%±0.19%, <i>p</i> = 0.11). Shimmer (dB) the pre-operative (0.582 ± 0.317 dB), post-operative day 1 (0.552 ± 0.301 dB), <i>p</i> = 0.08 and postoperative day 7 (0.566 ± 0.302 dB) <i>p</i> = 0.90 on day 7. HNR pre-operatively (19.009 ± 3.939 dB), postoperative day 1 (18.803 ± 4.14 dB, <i>p</i> = 0.58) and postoperative day 7 (18.740 ± 3.630 dB, <i>p</i> = 0.46). Acoustic voice analysis showed decreased pitch and increase in pitch sigma on postoperative day one which improved on day seven, and it shows that there was no permanent injury to ESBLN during surgery. Acoustic voice analysis being a non-invasive objective procedure, can be used to diagnose EBSLN injury post-thyroidectomy. However, research with large sample size is required to conclusively study the diagnostic efficacy of acoustic voice analysis to diagnose injury to EBSLN.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1401-1409"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11908994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic-Assisted Maxillectomy: A Combined Approach for the Management of Maxillary Malignant Tumors.","authors":"Andrea Ferri, Micol Bellinato, Bernardo Bianchi, Francesco Arcuri, Giuseppe Perlangeli, Michela Bergonzani, Silvano Ferrari","doi":"10.1007/s12070-025-05370-2","DOIUrl":"https://doi.org/10.1007/s12070-025-05370-2","url":null,"abstract":"<p><p>Maxillary sinus cancer presents unique challenges due to its slow growth and concealed location, often leading to delayed diagnosis and advanced stage at presentation. Wide resection, including maxillectomy, is frequently necessary for curative treatment. However, achieving clear resection margins while preserving function and aesthetics remains crucial. This article evaluates a combined surgical approach for maxillectomy, aiming to optimize oncological outcomes while minimizing morbidity and preserving function and aesthetics. A retrospective evaluation of patients undergoing endoscopic-assisted maxillectomy was conducted, focusing on demographics, tumor characteristics, surgical techniques, and outcomes. Data including operative time, complications, reconstruction methods, and follow-up were collected and analyzed. Ten patients underwent endoscopic-assisted maxillectomy, with favorable outcomes in terms of oncological radicality and functional preservation. Complications were minimal, and all patients achieved R0 margins. Adjuvant therapies were tailored based on individual patient characteristics, with promising survival outcomes and acceptable morbidity. The combined approach offers advantages over traditional methods by providing precise visualization and control in both endonasal and intraoral aspects of the resection. It allows for en-bloc tumor removal with minimal morbidity. Endoscopic-assisted maxillectomy offers a safe and effective approach for achieving optimal oncological outcomes while preserving function and aesthetics. It represents a significant evolution in the management of maxillary tumors, demanding further investigation and refinement.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1521-1529"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909345/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enlarged Vestibular Aqueduct: Audiological and Vestibular Profiles in Siblings with Genetic Mutations.","authors":"Madhuri Bhogade, Kristi Kaveri Dutta, Vidhi Lodha, Anuj Kumar Neupane","doi":"10.1007/s12070-025-05366-y","DOIUrl":"https://doi.org/10.1007/s12070-025-05366-y","url":null,"abstract":"<p><p>This study examines audiological and vestibular profiles in siblings with Enlarged Vestibular Aqueduct (EVA) and gene mutations. Despite normal vestibular test results, the elder sibling reported falls, highlighting subclinical vestibular dysfunction. Findings emphasize the importance of genetic testing, comprehensive evaluations, and early intervention to manage progressive symptoms and improve quality of life.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1654-1659"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unicentric Castleman's Disease of Neck with Incidental Arteria Lusoria: A Rare Case Report.","authors":"C V Srinivas, Soumya Vedavyasa, Dhruva Kumar Lokesh, Mayur Manchaiah, C R Nandan","doi":"10.1007/s12070-025-05331-9","DOIUrl":"https://doi.org/10.1007/s12070-025-05331-9","url":null,"abstract":"<p><p>A 20-year-old female presented with a left large level-V lymph node enlargement, incidentally associated with aberrant vasculature arteria lusoria. She was treated with surgical excision and successful management of post-operative chyle leak. Histopathology depicted hyaline vascular variant of unicentric Castleman's disease, known to have a good prognosis.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1618-1621"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Study of Cases in Which Penrose Drains Were Selected for Postoperative Hemorrhaging After Head and Neck Surgery.","authors":"Takumi Okuda, Takayuki Kawabata, Hiroyuki Koga, Kei Kajihara","doi":"10.1007/s12070-025-05381-z","DOIUrl":"https://doi.org/10.1007/s12070-025-05381-z","url":null,"abstract":"<p><p>Closed suction drains are commonly used after head and neck surgery, but airway obstruction due to postoperative hemorrhaging can be fatal. Some studies have suggested that cervical circumference should be assessed after thyroid surgery to detect such problems early. Rapid responses may be difficult at facilities with limited staffing. We opted for Penrose drains in cases in which the risk of postoperative hemorrhaging was expected to be high, and we examined the effectiveness of this approach in this study. Between October 2022 and December 2023, 25 of 68 (37%) head and neck operations involved the placement of a Penrose drain. Their medical records were reviewed retrospectively. There were 20 cases involving neck dissection, which was performed via a wide range of surgical techniques. Intraoperative findings (e.g., significant oozing of blood) was the most common reason for choosing the open technique (10 cases). The duration of drain placement was < 7 days (mean: 4.68 days). There were no surgical site infections; two cases of postoperative hemorrhaging; and no fatal problems, such as airway obstruction, but delayed wound healing due to wound-edge dehiscence was observed in some cases. There were no cases of airway narrowing due to postoperative hemorrhaging. Penrose drains are considered a good indication for cases with a history of radiotherapy causing postoperative haemorrhage, cases on oral anticoagulants, lesions in the deep parotid to parapharyngeal space that are difficult to recognise for haematoma formation, and cases where negative pressure should be avoided for exposure of anastomotic vessels and nerves, and should continue to be investigated.</p>","PeriodicalId":49190,"journal":{"name":"Indian Journal of Otolaryngology and Head and Neck Surgery","volume":"77 3","pages":"1573-1579"},"PeriodicalIF":0.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11909321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}