A Novel Approach in the Treatment of a Posttraumatic Sialocele

T he anatomic location of the parotid gland makes its parenchyma and duct particularly prone to injury during trauma cases. Failure to identify and treat injuries to the parotid duct may result in late complications such as sialoceles that increase patient morbidity and discomfort. Initial management of sialoceles typically involves a conservative approach, although more aggressive techniques may be employed if the initial treatment fails. We present a case of 47-year-old female patient who developed a left parotid sialocele several days after receiving a penetrating injury to the left parotid region. We drained the sialocele intraorally using a 16-gauge angiocatheter that was left sutured in place to create a controlled intraoral drainage pathway.

[1]  Eli A Gordin,et al.  Parotid gland trauma. , 2010, Facial plastic surgery : FPS.

[2]  J. Fagan,et al.  Peroral drainage of post-traumatic sialocoeles: report of three cases , 2009, The Journal of Laryngology & Otology.

[3]  P. Goudot,et al.  Nonsurgical management of traumatic injuries of the parotid gland and duct using type a botulinum toxin. , 2006, Plastic and reconstructive surgery.

[4]  M. Steinberg,et al.  Management of parotid duct injuries. , 2005, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[5]  J. V. von Lindern,et al.  New prospects in the treatment of traumatic and postoperative parotid fistulas with type A botulinum toxin. , 2002, Plastic and reconstructive surgery.

[6]  H. H. Lawson,et al.  Post‐Traumatic Parotid Fistulae and Sialoceles. A Prospective Study of Conservative Management in 51 Cases , 1989, Annals of surgery.