ePoster
Presentations Description
Institution: Whangarei Hospital - Northland, Aotearoa New Zealand
Aims:
Sialocele or salivary fistula occurs in 5-39% of parotidectomies. There is limited evidence on factors that may increase this risk. We aimed to audit complication rates after partial parotidectomy at our institution and review operative factors that may influence sialocele or salivary fistula formation.
Methodology:
Retrospective review of clinical records of all adult patients undergoing partial parotidectomy between 1 January 2022 and 30 September 2025. Demographics, surgical indication, intraoperative haemostatic agents used, drain type and duration, and total tissue volume removed were analysed. Outcomes included 30-day readmission rate and incidence of postoperative sialocele or salivary fistula formation.
Results:
67 patients were included. Mean age was 64 years (SD 16.5, range 34-91); 54% were male and 61% New Zealand European. Common indications were pleomorphic adenoma (42%), Warthin’s tumour (22%) and squamous cell carcinoma (16%). 14 patients (21%) developed a postoperative sialocele or salivary fistula. 7 haemostatic agents were used, with 3 cases utilising more than one. Most had a 10 or 15 Fr Blake drain (73%), whilst 8% had none. Drains were usually removed after 48 hours (37%) or 72 hours (24%). No significant association was found between development of salivary collections and total tissue volume removed, drain type or duration, or haemostatic agent used.
Conclusion:
At present there is no clear consensus on intraoperative strategies to reduce sialocele formation. Some suggest prolonged drain placement or avoidance of certain haemostatic agents. Our findings show no statistically significant associations between these factors and the incidence of postoperative sialocele or salivary fistula formation. Ongoing analysis will compare the total tissue volume removed to preoperative imaging of the parotid gland size to assess potential correlation between the proportion of gland removed and the incidence of sialocele or salivary fistula formation.
Speakers
Authors
Authors
Dr Alina Rankin - , Dr Elad Dagan - , Dr Vishak Surendra -
