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Parotid Fistula

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https://www.readbyqxmd.com/read/30074221/application-of-delayed-surgical-managements-in-patients-with-stensen-s-duct-injury
#1
Chuan-Yu Hu, Zheng-Jun Shang, Xu Qin, Le-Nan Shao
The study aimed to retrospectively evaluate surgical treatment outcomes after delayed parotid gland and duct injuries. Nine patients subjected to parotid gland and duct injuries with 1- to 3-month treatment delay were retrospectively evaluated with special reference of etiology, past medical history, and injury location. Conservative treatment, microsurgical anastomosis, and diversion of salivary flow or ligation were chosen for delayed parotid gland and duct injuries concerning to their site of injury, time of repair and procedures...
June 2018: Current medical science
https://www.readbyqxmd.com/read/29804129/frey-syndrome-first-bite-syndrome-great-auricular-nerve-morbidity-and-quality-of-life-following-parotidectomy
#2
Giacomo Fiacchini, Niccolò Cerchiai, Domenico Tricò, Stefano Sellari-Franceschini, Augusto Pietro Casani, Iacopo Dallan, Veronica Seccia
PURPOSE: Parotidectomy may be burdened by numerous complications that may worsen subjects' quality of life (QoL). These include paresis or paralysis of the facial nerve, face profile asymmetry, keloids, salivary fistula, Frey Syndrome (FS), First Bite Syndrome (FBS), and hypo-anaesthesia of the skin. This study is an effort to assess the incidence of complications following parotidectomy and their impact on subjects' QoL. METHODS: Subjects undergoing parotidectomy for benign neoplasms from 2012 to 2015 were selected and invited to attend our outpatient clinic...
July 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29798161/-functional-modified-periauricular-incision-in-parotidectomya
#3
P A Wu, W Y Liang, Z Q Lu, X N Liang, J X Zeng
Objective: The purpose of this study was to present the usefulness of modified periauricular incision in parotid surgical procedures. Method: Sixteen consecutive partial superfacial parotidectomies were performed using modified periauricular incision. Clinical evaluation of cosmetic satisfaction, incidence of complications such as Frey's syndrome, facial nerve palsy, earlobe numbness and salivary fistula were observed. Result: The parotid tumors were removed in all cases with need for any further skin procedures, as the incisions produced a good aesthetic result...
July 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29775003/-extracapsular-dissection-versus-superficial-parotidectomy-for-treatment-of-parotid-benign-tumors-evidence-based-medicine-analysis
#4
Z Y Jia, X Y Zhang, C B Jiang, Y Z Zhao, R Zhang, X H Fan, Y H Zhang
Objective: The aim of this study is to systematically assess the clinical outcomes of extracapsular dissection (ECD) and superficial parotidectomy (SP), and to provide evidences for the clinical decision for treatment of parotid gland benign tumors. Method: Relevant studies that compared the outcomes of extracapsular dissection and superficial parotidectomy for the parotid benign tumors were searched in Pubmed, CNKI and Wangfang data databases, and Meta-analysis was performed using software RevMan 5.0. Result: Fifteen studies were selected for the Meta-analysis...
June 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29526414/experiences-with-a-modified-preauricular-mini-incision-with-subdermally-dissection-in-condylar-and-subcondylar-fractures-of-the-mandible
#5
Said Algan, Murat Kara, Mehmet Akif Cakmak, Onder Tan, Hakan Cinal, Ensar Zafer Barin, Akin Inaloz
OBJECTIVE: Condylar and subcondylar fractures (CSFs) are among the most common mandible fractures. If reduction of these fractures is not carried out correctly, serious complications can result, including infection, damage to temporomandibular joint (TMJ) function, malocclusion, nonunion, malunion, and ankylosis of the TMJ. METHODS: We used a preauricular, mini-incision, open technique (PMIOT) for CSF of the mandible. 66 patients (48 males, 18 females), with a total of 72 CSFs of the mandible, were repaired with PMIOT between 2011 and 2016...
April 2018: Journal of Cranio-maxillo-facial Surgery
https://www.readbyqxmd.com/read/29452070/a-modified-peri-angular-approach-for-exposure-of-condylar-fractures
#6
Adarsh Kudva, Abhay T Kamath, Jyotsna Rajan, Charlene D'Souza
PURPOSE: To describe a modified peri-angular approach to address subcondylar and condylar neck fractures. MATERIALS AND METHODS: A modified peri-angular incision is used to approach a fractured condyle through the anteroparotid transmasseteric approach. RESULTS: In the authors' experience, this method provides quick and clean exposure to the fractured condylar base and neck fractures for open reduction and internal fixation. CONCLUSION: Although the peri-angular approach has been discussed in the literature, the authors' modification lessens the chance of complications, such as marginal nerve injury and parotid fistula formation, because the nerve is visualized and kept isolated throughout...
July 2018: Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29402551/transdermal-scopolamine-for-the-prevention-of-a-salivary-fistula-after-parotidectomy
#7
Konstantinos Mantsopoulos, Miguel Goncalves, Heinrich Iro
Our aim was to investigate whether perioperative transdermal application of scopolamine could help to prevent fistulas after parotidectomy, and to this end we retrospectively studied the records of all patients (n=645) who had benign parotid tumours treated by partial parotidectomy between 2011 and 2016. We found that scopolamine led to a significant decrease in the incidence of salivary fistulas from 54/371(15%) in the group not given it to 10/274 (4%) in the group given it (p<0.0001). The "number needed to treat" was 9...
April 2018: British Journal of Oral & Maxillofacial Surgery
https://www.readbyqxmd.com/read/29364451/primary-treatment-of-early-fistula-of-parotid-duct-with-botulinum-toxin-type-a-injection
#8
Camila Ferron, Selma Schuartz Cernea, Ada Regina Trindade de Almeida, Denise Vieira Galvão Cesar
Salivary duct injury can be idiopathic, iatrogenic, or post-trauma and may result in sialocele or fistula. Most injuries regress spontaneously and botulinum toxin A is one of several therapeutic possibilities. We report a case of iatrogenic injury to the parotid duct after Mohs' micographic surgery for a squamous cell carcinoma excision in the left jaw region, treated by injection of botulinum toxin type A. Although the fistula by duct injury can be self-limiting, botulinum toxin injection by promoting the inactivity of the salivary gland allows rapid healing of the fistula...
November 2017: Anais Brasileiros de Dermatologia
https://www.readbyqxmd.com/read/29092806/an-effective-surgical-approach-for-the-management-of-recurrent-first-branchial-cleft-fistula-with-cysts-a-case-report
#9
Mi Jang, Chunfu Dai
The goal of this case report is to describe an unusual case of recurrent first branchial cleft fistula with cysts and the effective surgical approach of complete removal with preservation of the facial nerve. A 27-year-old woman presented to our clinic after unsuccessful removal twice during the last 20 years. We have achieved satisfactory outcomes by using an approach to identify the facial nerve at the stylomastoid foramen with canal wall up mastoidectomy under a microscope. No sign of facial palsy, hearing loss, or recurrence were noted in postoperative follow-up...
December 2017: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/29051404/complications-after-parotid-gland-surgery-our-experience
#10
Antonio Romano, Antonia Cama, Raffaele Corvino, Pasquale Graziano, Marco Friscia, Giorgio Iaconetta, Luigi Califano
AIM: Complications after parotid surgery include deficit of the facial nerve, wound complications, as sialocele and salivary fistula, and Frey syndrome; the goal of this study was to evaluate the relationship between the type of parotid surgery performed and the incidence of each of these complications. MATERIAL OF STUDY: A total of 184 patients were evaluated and 158 were included in the study. Four different kinds of intervention were made: extracapsular dissection, partial superficial parotidectomy; superficial parotidectomy and total parotidectomy...
2017: Annali Italiani di Chirurgia
https://www.readbyqxmd.com/read/29049168/sialocutaneous-fistula-to-the-external-auditory-canal-repaired-with-superficial-parotidectomy-and-temporoparietal-flap-a-case-report
#11
Benjamin D van der Woerd, Stephanie Danielle MacNeil
RATIONALE: Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose. PATIENT CONCERNS: Gustatory, left-sided clear otorrhea with acutely increased volume over 8 months causing social disruption...
October 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29028512/the-ectopic-accessory-parotid-system-a-new-patient-studied-through-magnetic-resonance-imaging
#12
Mainak Dutta, Indranil Chatterjee, Soham Roy
The ectopic accessory parotid system (EAPS) connotes an extra parotid tissue with its ductal outlet that is morphologically distinct from the main parotid gland and its drainage system. Clinically presenting as a saliva-draining cheek fistula near the oral commissure, this rare congenital anomaly is almost always associated with ipsilateral preauricular appendages and occasional mandibular hypoplasia, and is considered a variant of the oculo-auriculo-vertebral spectrum. This report discusses the embryology, clinical details, and management aspects in a new patient, highlighting the role of magnetic resonance imaging in, for the first time, tracking the ectopic salivary system, and establishing its independent existence...
March 2018: Clinical Imaging
https://www.readbyqxmd.com/read/28913292/the-effect-of-botulinum-toxin-on-an-iatrogenic-sialo-cutaneous-fistula
#13
Seung Eun Hong, Jung Woo Kwon, So Ra Kang, Bo Young Park
A sialo-cutaneous fistula is a communication between the skin and a salivary gland or duct discharging saliva. Trauma and iatrogenic complications are the most common causes of this condition. Treatments include aspiration, compression, and the administration of systemic anticholinergics; however, their effects are transient and unsatisfactory in most cases. We had a case of a patient who developed an iatrogenic sialo-cutaneous fistula after wide excision of squamous cell carcinoma in the parotid region that was not treated with conventional management, but instead completely resolved with the injection of botulinum toxin...
December 2016: Archives of Craniofacial Surgery
https://www.readbyqxmd.com/read/28806381/congenital-salivary-fistula-from-parotid-main-gland
#14
Dong Hoon Lee, Tae Mi Yoon, Joon Kyoo Lee, Sang Chul Lim
Congenital parotid fistulas are extremely rare diseases. Herein, the authors report a patient with congenital salivary fistula from parotid main gland in a 15-year-old boy. Therefore, clinicians should consider the possibility of congenital parotid fistula form parotid main gland. Surgical excision of the fistula and parotid gland can be effective treatment option of congenital parotid fistula.
October 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28741402/bipolar-dissection-technique-in-parotid-gland-surgery
#15
Andreas Knopf, Clemens Heiser, Özlem Karasoy, Benedikt Hofauer, Henning Bier, Naglaa Mansour
BACKGROUND: Parotid gland surgery (PGS) has to manage the balancing act between sufficient radicality and preservation of functional structures. While many studies evaluate post-therapeutic complication due to different extent of surgery, the current study introduces bipolar dissection (BP) being a fast and safe preparation technique. METHODS: Analysis of clinical parameters (age, sex, tumour entity, treatment modalities, facial nerve palsy, bleeding, saliva fistula and Frey's syndrome) of 319 consecutively included patients who underwent extracapsular dissection and superficial/total/radical parotidectomy...
November 2017: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/28713751/parotid-duct-repair-with-intubation-tube-technical-note
#16
Muhammed Beşir Öztürk, Seda Asrufoğlu Barutca, Elif Seda Keskin, Bekir Atik
The parotid duct can be damaged in traumatic injuries and surgical interventions. Early diagnosis and treatment of a duct injury is of great importance because complications such as sialocele and salivary gland fistula may develop if the duct is not surgically repaired. We think the cuff of an intubation tube is an ideal material in parotid duct repair, because of its technical characteristics, easiness of availability, and low-cost. In this paper, we described the use of the cuff cannula of an intubation tube for the diagnosis and treatment of parotid duct laceration, as a low-cost and easy to access material readily available in every operating room...
January 2017: Annals of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28672934/first-branchial-cleft-anomalies-in-children-experience-with-30-cases
#17
Wanpeng Li, Liming Zhao, Hongming Xu, Xiaoyan Li
First branchial cleft anomalies (FBCA) are rare in the clinical setting, as they account for 1 to 8% of all branchial abnormalities. The purpose of this study is to explore the relationship between the fistula tract and facial nerve and the surgical method of FBCA. This retrospective study included 30 cases of FBCA in children managed from 2009 to 2016. All patients underwent surgery to remove the tract of the FBCA. We reviewed the clinical data of the patients to obtain their demographics and management. Thirty patients (11 male and 19 female) with anomalies of FBCA were diagnosed...
July 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/28530780/retromandibular-transparotid-approach-for-subcondylar-mandibular-fractures-a-retrospective-study
#18
Gökhan Göçmen, Altan Varol, Onur Atalı, Sertaç Aktop, Selçuk Basa
BACKGROUND: The aim was to evaluate the effectiveness and complications of retromandibular transparotid approach performed for the reduction of dislocated subcondylar fractures. METHODS: Fourteen patients with subcondylar mandibular fractures were evaluated (8 male, 6 female, age range 19-43 years). The primary predictor variable in the present study was time (preoperative vs postoperative). The primary outcome variables were inflammatory complication, facial nerve deficit (House and Brackmann classification), and presence of parotid fistula...
May 2017: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/28356695/sialocele-a-rare-sequlae-of-transparotid-approach-in-subcondylar-fracture-management
#19
R Rajeev, S Sajesh, Mathew Jose, N Dhineksh Kumar
Iatrogenic injury and/or damage to the parotid salivary gland during transparotid approach for open reduction and internal fixation of mandibular condyle fracture is a rare event. Accumulation of saliva in the gland leads to formation of a sialocele. Huge sialocele often seeks drain through the most dependent area through an extraoral wound, whereas in the absence of extraoral fistula, saliva can be redirected intraorally using a stent. A case of mangement of sialocele caused by damage to glandular elements during a transparotid approach for a subcondylar fracture reduction is reported...
July 2016: National Journal of Maxillofacial Surgery
https://www.readbyqxmd.com/read/28122098/chronic-discharging-sinus-in-the-parotid-are-we-missing-something
#20
Mainak Dutta, Indranil Chatterjee, Mitrajit Mallik
No abstract text is available yet for this article.
January 2017: Ear, Nose, & Throat Journal
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