PDF(Pubmed)
Abstract：
Excessive compression after parotidectomy can lead to flap necrosis, while inadequate pressure can cause fluid accumulation. This study aimed to determine the optimal pressure and compression properties of different types of dressings. Initially, pressure measurements were taken for conventional Barton\'s dressing and a pre-fabricated facial garment. In the subsequent phase, patients were randomly assigned to receive one of three types of pressure dressings: conforming bandage Barton\'s dressing, elastic bandage Barton\'s dressing or pre-fabricated facial garment. The dressing types were randomly crossed over the following day. The mean pressure exerted by conventional Barton\'s dressing and the pre-fabricated facial garment was 15.86 and 14.81 mmHg, respectively. There was no significant difference in the proportion of optimal pressure among the three types of pressure dressing (p-values of 0.195, 0.555 and 0.089 at pre-auricular, angle of mandible and post-auricular sites, respectively). The pre-auricular area demonstrated the highest proportion of optimal pressure, while suboptimal pressure was noted at the angle of the mandible and post-auricular area. Dressing types had no effect on pressure stability (p = 0.37), and there was no significant difference in patient preference (p = 0.91). Conforming bandage Barton\'s dressing, elastic bandage Barton\'s dressing and pre-fabricated facial garment exhibit comparable compressive properties, with no significant difference in patient preference and pressure stability.
摘要：
腮腺切除术后过度压迫可导致皮瓣坏死，而压力不足会导致液体积聚。本研究旨在确定不同类型敷料的最佳压力和压缩性能。最初，对常规Barton敷料和预制面部服装进行压力测量。在随后的阶段,患者被随机分配接受三种类型的压力敷料之一：符合Barton的绷带敷料，弹性绷带巴顿敷料或预制面部服装。在第二天随机交叉敷料类型。传统Barton敷料和预制面部服装施加的平均压力为15.86和14.81mmHg，分别。三种压力敷料中的最佳压力比例没有显着差异（耳前的p值分别为0.195、0.555和0.089，下颌骨和耳后部位的角度，分别)。耳前区域显示出最高比例的最佳压力，而在下颌骨和耳后区域的角度处注意到次优压力。敷料类型对压力稳定性没有影响(p=0.37)，患者偏好无显著差异(p=0.91)。符合Barton的绷带，弹性绷带巴顿敷料和预制面部服装表现出相当的抗压性能，患者偏好和压力稳定性无显著差异。
