Management of Parotid Fistula with Sodium Tetradecyl Sulphate and Intraparenchymal Botulinum Toxin Injection.

IF 0.4 Q4 SURGERY
Song Yeu Wong, Nasibah Mohamad, Norsyamira Aida Mohamad Umbaik, Norhafiza Mat Lazim
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引用次数: 0

Abstract

A salivary gland fistula occurs when there is abnormal communication between the skin and the salivary gland or duct. Most of the cases are due to complications of head and neck surgery such as parotidectomy or trauma. At the moment, there are no consensus treatment guidelines for managing salivary gland fistulas. Most cases are treated conservatively; however, the management of ductal fistula can be challenging and typically requires more aggressive measures than conservative ones. We report a case of an elderly with a neck abscess complicated with a parotid fistula after incision and drainage. He presented with wound breakdown and persistent saliva leakage from the wound. The fistulogram showed communication between the Stensen's duct and the external fistula opening. We performed sclerotherapy by injecting Sodium Tetradecyl Sulphate into the fistula tract and ultrasound-guided intraparenchymal Botulinum Toxin type A injection over the affected parotid gland. The management of salivary gland fistula is discussed, focusing on the role of Botulinum Toxin type A injection and Sodium Tetradecyl Sulphate for the management of the fistula.

硫酸十四烷基钠联合肝实质内肉毒毒素注射治疗腮腺瘘。
当皮肤与唾液腺或导管之间存在异常通信时,就会发生唾液腺瘘。大多数病例是由于头颈部手术的并发症,如腮腺切除术或外伤。目前,对于唾液腺瘘管的治疗尚无一致的指导方针。大多数病例采用保守治疗;然而,导管瘘的管理是具有挑战性的,通常需要比保守的更积极的措施。我们报告一例老年人颈部脓肿合并腮腺瘘后,切开和引流。他表现为伤口破裂和持续的唾液渗出。瘘管造影显示斯坦森导管与外瘘口相通。我们通过在瘘管道内注射硫酸十四烷基钠和超声引导下在腮腺上注射A型肉毒杆菌毒素进行硬化治疗。本文讨论了唾液腺瘘的治疗,重点讨论了A型肉毒毒素注射液和硫酸十四烷基钠对唾液腺瘘的治疗作用。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
226
审稿时长
6-12 weeks
期刊介绍: Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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