{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T08:39:54Z","timestamp":1769503194673,"version":"3.49.0"},"reference-count":53,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T00:00:00Z","timestamp":1643414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>We investigated whether a fibrinogen-thrombin collagen sponge patch reduces postoperative complications of parotid gland surgery. This single-blinded, randomized controlled study included 165 patients who underwent parotid surgery for benign tumors (2018\u20132019) at a tertiary center. Primary outcomes were postoperative drain amount, days until drain removal, and discharge. Patients were scheduled for follow-up at 1 and 4 weeks, and 3 months after surgery. Complications including surgical site infection, pain, seroma, sialocele, salivary fistula, facial nerve palsy, Frey\u2019s syndrome with subjective symptoms, and facial asymmetry were analyzed. After identifying confounding variables, multivariate approaches were used. Histologic analysis was performed in a mouse model of salivary gland surgery. In total, 162 patients (77, fibrinogen-thrombin collagen patch group; 85, controls) were included, with no significant between-group differences other than resected tissue. Among postoperative total drain amount and days until drain removal and discharge, the only postoperative total drain was significantly lower in the patch group than in the control group in the adjusted model. Additionally, although validation through robust trials with longer follow-up is needed, we found the potential benefit of the fibrinogen patch on Frey\u2019s syndrome and facial asymmetry. In conclusion, fibrinogen-thrombin-impregnated collagen patches in parotidectomy can reduce postoperative drainage and improve outcomes.<\/jats:p>","DOI":"10.3390\/jcm11030746","type":"journal-article","created":{"date-parts":[[2022,1,30]],"date-time":"2022-01-30T00:12:56Z","timestamp":1643501576000},"page":"746","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Effectiveness of the Fibrinogen-Thrombin-Impregnated Collagen Patch in the Prevention of Postoperative Complications after Parotidectomy: A Single-Blinded, Randomized Controlled Study"],"prefix":"10.3390","volume":"11","author":[{"given":"Kunho","family":"Song","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon 35010, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chan","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon 35010, Korea"},{"name":"Research Institute for Medical Sciences, College of Medicine, Chungnam National University, Daejeon 35010, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ho-Ryun","family":"Won","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon 35010, Korea"},{"name":"Research Institute for Medical Sciences, College of Medicine, Chungnam National University, Daejeon 35010, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5928-0006","authenticated-orcid":false,"given":"Bon Seok","family":"Koo","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon 35010, Korea"},{"name":"Research Institute for Medical Sciences, College of Medicine, Chungnam National University, Daejeon 35010, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Da Mi","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Radiology, College of Medicine, Chungnam National University, Daejeon 35015, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min-Kyung","family":"Yeo","sequence":"additional","affiliation":[{"name":"Department of Pathology, College of Medicine, Chungnam National University, Daejeon 35015, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujin","family":"Choi","sequence":"additional","affiliation":[{"name":"College of Arts and Science, Emory University, Atlanta, GA 30322, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6596-931X","authenticated-orcid":false,"given":"Jae Won","family":"Chang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, Cancer Research Institute, College of Medicine, Chungnam National University, Daejeon 35010, Korea"},{"name":"Research Institute for Medical Sciences, College of Medicine, Chungnam National University, Daejeon 35010, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"102610","DOI":"10.1016\/j.amjoto.2020.102610","article-title":"Surgical management and outcomes of accessory parotid gland neoplasms: A systematic review","volume":"41","author":"Passick","year":"2020","journal-title":"Am. 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