{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T11:55:43Z","timestamp":1765886143764},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO  Objetivo: avaliar subtipos histol\u00f3gicos mais incidentes e as principais complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias em pacientes idosos portadores de tumor de par\u00f3tida e submetidos \u00e0 parotidectomia.  M\u00e9todos: estudo retrospectivo de 57 pacientes idosos submetidos \u00e0 parotidectomia, no per\u00edodo de 2003 a 2017, no Hospital Municipal S\u00e3o Jos\u00e9 de Joinville, Santa Catarina, Brasil.  Resultados: trinta e tr\u00eas (57,9%) pacientes tinham tumores benignos, sendo o mais frequente o tumor de Warthin, e 17(29,8%) tumores malignos, sendo o carcinoma escamoso o mais frequente. Sete (12,3%) pacientes evolu\u00edram com complica\u00e7\u00f5es cl\u00ednicas, sendo a labilidade press\u00f3rica e as complica\u00e7\u00f5es respirat\u00f3rias as mais incidentes em quatro (7%) e tr\u00eas (5,3%) casos, respectivamente. Treze (22,1%) pacientes apresentaram complica\u00e7\u00f5es cir\u00fargicas relacionadas \u00e0 ferida operat\u00f3ria, sendo o hematoma e a infec\u00e7\u00e3o de ferida as mais incidentes, com seis (10,5%) casos cada. Vinte e quatro (42,1%) pacientes tiveram algum grau de disfun\u00e7\u00e3o do nervo facial no p\u00f3s-operat\u00f3rio, sendo o grau III de Brackman-House, em 11 casos (19,3%), o mais frequente. O tempo cir\u00fargico e a linfadenectomia mostraram associa\u00e7\u00e3o com complica\u00e7\u00f5es cl\u00ednicas. As principais vari\u00e1veis que apresentaram associa\u00e7\u00e3o com complica\u00e7\u00f5es cir\u00fargicas foram: tamanho do tumor, tempo cir\u00fargico mais longo, reopera\u00e7\u00e3o e volume de infus\u00e3o de cristaloides no transoperat\u00f3rio.  Conclus\u00e3o:  as neoplasias parot\u00eddeas apresentam perfil diferenciado na popula\u00e7\u00e3o idosa, destacando-se o tumor de Warthin e o carcinoma escamoso. Hematoma e infec\u00e7\u00e3o da ferida operat\u00f3ria, e as les\u00f5es do nervo facial foram as complica\u00e7\u00f5es mais prevalentes no p\u00f3s-operat\u00f3rio.<\/jats:p>","DOI":"10.1590\/0100-6991e-20181896","type":"journal-article","created":{"date-parts":[[2018,9,4]],"date-time":"2018-09-04T15:27:18Z","timestamp":1536074838000},"source":"Crossref","is-referenced-by-count":4,"title":["Avalia\u00e7\u00e3o das complica\u00e7\u00f5es p\u00f3s-operat\u00f3rias em pacientes idosos submetidos \u00e0 parotidectomia."],"prefix":"10.1590","volume":"45","author":[{"given":"Milton S\u00e9rgio","family":"Bohatch J\u00fanior","sequence":"first","affiliation":[{"name":"Hospital Municipal S\u00e3o Jos\u00e9,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ramon Alves","family":"Mendes","sequence":"additional","affiliation":[{"name":"Hospital Municipal S\u00e3o Jos\u00e9,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda Fernandes Vidal","family":"da-Silva","sequence":"additional","affiliation":[{"name":"Hospital Municipal S\u00e3o Jos\u00e9,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana Simonato","family":"Lorenzini","sequence":"additional","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre Wolf","family":"Dohler","sequence":"additional","affiliation":[{"name":"Universidade da Regi\u00e3o de Joinville,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnaldo Jos\u00e9","family":"Graciano","sequence":"additional","affiliation":[{"name":"Hospital Municipal S\u00e3o Jos\u00e9,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,9,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.1016\/j.ijsu.2014.08.391","article-title":"Surgical management of pleomorphic 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