Postoperative nursing comparison of parapharyngeal space tumorectomy by endoscopy-assisted transoral approach and transcervical approach

Abstract

Objective To compare the difference of postoperative nursing between endoscopy-assisted transoral approach and transcervical approach in parapharyngeal space tumorectomy. Methods A total of 67 patients with parapharyngeal space tumor in ENT & HN Surgery Department of Beijing Tongren Hospital from April 2003 to November 2015 were selected and assigned to the control group (n=35) and the observation group (n=32). Patients in the control group were treated by transcervical approach, while patients in the observation group were treated by endoscopy-assisted transoral approach. Comparison of postoperative vital signs, wound, diet, time from surgery to discharge, complications, and patient satisfaction of two groups were performed. Statistical analysis was done by test. Results Four cases in the control group and two cases in observation group were observed a body temperature more than 37.5 ℃ (P>0.05). The wounds of patients in the control group were in the neck, and the wound of patients in the observation group were in the oral cavity. The color of drainage fluid of two groups was normal and both were hemorrhagic effusion. The amount of drainage fluid in control group (46.80±5.20) ml was significantly higher than the observation group (15.22±2.04) ml (P<0.05). The drainage time of control group (3.46±0.74) days was more than the observation group (2.22±0.42) days (P<0.05). Patients in the control group was fed liquid or semi liquid diet, while patients in the observation group was fed nasogastric liquid diet. The time from surgery to discharge in the control group (3.63±0.81) days was longer than that in the observation group (2.63±0.49) days (P<0.05). Cases with complications in the control group (seven cases) was significantly higher than that in the observation group (zero case)(P<0.05). Satisfaction score of patients in the control group (3.94±0.73) points was significantly lower than that in the observation group (4.31±0.69) points (P<0.05). Conclusions Endoscopic-assisted transoral approach and transcervical approach are effective treatment for tumors in parapharyngeal space. Endoscopic-assisted transoral approach has more advantages in the aspect of the amount of fluid drainage, drainage time and length of stay, complication rate, and satisfaction of patients. Key words: Nursing; Parapharyngeal space tumor; Endoscope-assisted; Transoral approach; Transcervical approach