Evaluation of Efficacy of Drained and Drainless Parotid Surgery

Background: The primary therapy for parotid tumors is surgery. Effective drained procedures reduce fluid buildup and improve fluid monitoring. However, drainless surgeries are becoming increasingly prevalent, which may reduce hospital stays and increase patient comfort. However, drainless methods may cause fluid collection. Aim of the study: To evaluate parotidectomy outcomes and complications with and without drains. Patients and methods: A case-control study investigated 30 superficial parotidectomy patients at Gazi Al-Hareri Teaching Hospital from January 2022 to December 2023. Participants who have had radiation exposure, certain medical problems, or prior surgeries are not eligible for a superficial parotidectomy. Demographics, medical history, and clinical assessment were collected before, during, and after operation. We will record the surgical approach, drain usage, operation length, and problems (hospital stay, complications, pain scores, facial nerve function, and patient satisfaction). Results: fifty percent of study subjects had drained parotidectomy, 50% did not. Males dominated both groups (73.8 percent drained, 80 percent drainless). Average age was 48 years, and age distributions were statistically comparable. The average tumor size did not vary significantly between the two groups. Drained surgeries averaged 129.2 minutes, whereas drainless ones averaged 113.6. Blood-drained patients were far more painful. Postoperative complications included infection, hematoma, and seroma. However, the total complication incidence was 30% across all groups. Conclusion: Drainless parotidectomy was not associated with higherrate of seroma formation or facial nerve palsy. Drained parotidectomy is associated with higher post operative pain score