Key Points:
• Conventionally, formal superficial parotidectomy is conducted
to remove parotid nodule. The facial nerve trunk is first identified
followed by antegrade nerve dissection of its all 5 branches.
•Minimally invasive parotiodectomy in forms of partial parotidectomy or
extracapsular dissection is equally effective in selected parotid
nodules. The benefits encompass shorter operation duration and less
complication.
•Drainage is routine after formal superficial parotidectomy to prevent
seroma or other wound complications. Its role in minimally invasive
parotidectomy is not widely studied.
•Tissue sealant could diminish seroma formation and enhance hemostasis.
This study aims to evaluate whether tissue sealant could enable
drainless minimally invasive parotidectomy.
•No seroma formation was found in this series. Drainless minimally
invasive parotidectomy appears safe with tissue sealant and thus day
surgery is facilitated.