Management of Sialocele Secondary to Iatrogenic Parotid Duct Injury: A Case Report

Abstract

Sialocele is extra glandular subcutaneous collection of saliva. Etiology ranges from trauma or laceration to the salivary duct or the gland parenchyma itself. The injurious cause can be trauma or insult from surgeries involving the salivary gland like superficial parotidectomy. The objective of this study is to bring in light the potential of iatrogenic trauma to the Stensonrsquos duct. The paper also includes the key to diagnosis and surgical technique to correct the sialocele resulting from the ductal injury. The surgical procedure of ductal repair of two patients of Sialocele was conducted in the Department of Oral and Maxillofacial Surgery CDCRI. The treatment included distal canulation of the duct intra-orally extra-oral surgical exploration removal of the cystic lining in one patient and catheterising with a paediatric feeding tube the distal part of the duct up to the site of saliva accumulation. Post-operative monitoring done with thorough irrigation and pressure dressing. After 21 post operative days the patency of the tract for saliva drainage was marked. Removal of the feeding tube also showed intact saliva drainage on stimulation. Treatment spectrum ranges from conservative medicinal treatment anti-cholinergic drugs administration and surgical intervention. Enucleation and Catheterization is a promising treatment modality.