Dynamic Scintigraphy With SPECT-CT of Postoperative Salivary Leak.

This 65 year-old woman, 1 month postoperative after maxillary sinus carcinoma (pT4N0cM0) excision and reconstruction, presented with significant left facial clear fluid wound leakage. A salivary or cerebrospinal leakage was suspected. Fluid analysis, CT, and MRI were noncontributory. Dynamic salivary scintigraphy with SPECT-CT allowed for the detection and localization of the leakage from the left parotid gland. Radioactive dose rate of the wound bandage was 50 μSv/h compared with 0.05 μSv/h for background and confirmed the diagnosis. Left total parotidectomy resulted in resolution.

[1]  Milan Sonka,et al.  3D Slicer as an image computing platform for the Quantitative Imaging Network. , 2012, Magnetic resonance imaging.

[2]  A. Thakar,et al.  MR sialography of iatrogenic sialocele: comparison with conventional sialography. , 2011, Dento maxillo facial radiology.

[3]  Peter Dalgaard,et al.  R Development Core Team (2010): R: A language and environment for statistical computing , 2010 .

[4]  A. Thakar,et al.  Congenital salivary fistula of accessory parotid gland: imaging findings , 2008, The Journal of Laryngology & Otology.

[5]  H. Kugel,et al.  Magnetic Resonance Sialography , 1999, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[6]  M. C. Han,et al.  Congenital fistula from ectopic accessory parotid gland: diagnosis with CT sialography and CT fistulography. , 1995, AJNR. American journal of neuroradiology.

[7]  E. Busemann-Sokole,et al.  Absolute indications for salivary gland scintigraphy with 99mTc-pertechnetate. , 1985, Oral surgery, oral medicine, and oral pathology.

[8]  Johnson Jt,et al.  Salivary Scan after Major Ablative Head and Neck Surgery with Prediction of Postoperative Fistulization , 1983 .

[9]  L. Gumerman,et al.  Salivary Scan after Major Ablative Head and Neck Surgery with Prediction of Postoperative Fistulization , 1983, The Annals of otology, rhinology, and laryngology.

[10]  E. Dierks,et al.  Parotid sialocele and fistula after mandibular osteotomy. , 1977, Journal of oral surgery.