Comparison of incidence of postoperative seroma between flapless and conventional techniques for thyroidectomy: a case-control study

Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
P SheahanM S Murphy

Abstract

The incidence of seroma after thyroidectomy has been reported between 1.3% and 7%. We hypothesised that a flapless thyroidectomy technique would reduce the incidence of seroma. Observational case-control study with comparison between retrospective cohort of patients undergoing thyroidectomy with raising of conventional skin flaps and prospective cohort undergoing flapless surgery. Academic Teaching Hospital. Hundred and seventy-five consecutive patients undergoing thyroidectomy performed by a single surgeon. After the first 85 cases, a change in practice took place, from raising of conventional skin flaps to performing flapless surgery wherever feasible. Occurrence of postoperative seroma, defined as central neck swelling in postoperative period, confirmed by aspiration of serous fluid, and other complications. Eight patients who underwent concomitant lateral (jugular) neck dissection were excluded. Among the remaining 167 patients, there were eight seromas (5%). Following the change in practice to flapless surgery, there was a significant reduction in the incidence of seroma (P = 0.025). There was no significant difference in other complications (haematoma; recurrent laryngeal nerve injury; and hypocalcaemia). Among the entire...Continue Reading

References

Jun 29, 2001·Head & Neck·L M Hurtado-LópezC Cervantes-Sánchez
Feb 24, 2006·Surgery Today·Nimet SusluGülay Dalkiliç
Mar 17, 2006·The Laryngoscope·David J TerrisEdward Chin
May 1, 2007·Journal of Surgical Oncology·Alvaro SanabriaAlfio Ferlito
Apr 2, 2010·Journal of Korean Medical Science·Yong Sang LeeCheong Soo Park
Nov 4, 2010·Surgery Today·Erdinc KamerMustafa Peskersoy
Mar 3, 2011·Surgery Today·Lutfi DoganCan Atalay

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Citations

Jul 15, 2015·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Che-Wei HuangShih-An Liu

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