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Parotid Fistula

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https://www.readbyqxmd.com/read/30550215/-functional-parotid-surgery-for-removal-of-benign-parotid-tumors
#1
Y Mao, Y J Chang, X L Zhang, F F Xu, S Q Yu, Z W Ji
Objective: To evaluate the effect of the application of functional parotid surgery for removal of benign parotid tumors and the prevention of Frey syndrome. Method: One hundred and fifty-six cases with benign tumor were underwent functional regional parotidectomy. All tumors were smaller than 4 cm in diameter. The safe surgical margin was 5 mm when the tumors were less than 2 cm in diameter, while the safety margin was 1 cm for the tumors diameter between 2-4 cm. 156 cases were assigned to two groups(A and B)...
December 5, 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/30339679/antegrade-versus-retrograde-facial-nerve-dissection-in-benign-parotid-surgery-is-there-a-difference-in-postoperative-outcomes-a-meta-analysis
#2
Mubarak Ahmed Mashrah, Taghrid Ahmed Al-Dhohrah, Fahmi Ahmed Al-Zubeiry, Lingjian Yan, Faez Saleh Al-Hamed, Xiaopeng Zhao, Chaobin Pan
OBJECTIVE: The primary aim of this meta-analysis was to test the null hypothesis of no difference in facial nerve dysfunction in studies that compared classical antegrade facial nerve dissection (AFND) versus retrograde facial nerve dissection (RFND) during benign parotid surgery. METHODS: A comprehensive search of PubMed, the Cochrane Central Register of Controlled Trials, Scopus, Google Scholar, Science Direct and relevant journals was undertaken up to June 27, 2018...
2018: PloS One
https://www.readbyqxmd.com/read/30282171/-the-application-of-modified-cosmetic-incision-and-skin-adhesive-in-parotid-benign-tumor-functional-surgery
#3
Q K Jiang, Z Y Cao, Y C Wei, Q Zhang, J F Yan, J Zhang
Objective: To investigate the clinical application value and related technology of modified cosmetic incision and cyanoacrylate octyl ester skin adhesive (Dermabond) in functional surgery of parotid benign tumor. Method: Forty-two cases of clinical cases were collected and randomly divided into groups of A and B. Group A used the approach of modified cosmetic incision,intradermal suture with 6-0 absorbable Vicryl stitches and gluing the skin with Dermabond. Group B used the approach of traditional S shaped incision and continuous suture of skin with 4-0 Prolene stitches...
August 2018: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/30211104/sternocleidomastoid-flap-in-parotid-surgery-a-case-series
#4
R Mehta, M Punjabi, R Soni, M Dagur, P Patidar, P Singh
Superficial and deep parotidectomies are known treatments for benign and malignant neoplasms of parotid glands. Due to the gland's proximity to facial nerve and other vital structures, this surgery carries the highest risk of facial nerve palsy. Another frequently overlooked complication, which can be detrimental to patient's life style is Frey's syndrome, or gustatory sweating. Other complications include flap necrosis and various contour deformities. We conducted this study on a group of 40 patients of parotid swellings to assess usage of sternocleidomastoid flap in prevention of Frey's syndrome, contour deformities, flap necrosis, salivary fistula and drain related injuries...
September 2018: Indian Journal of Otolaryngology and Head and Neck Surgery
https://www.readbyqxmd.com/read/30167301/an-uncommon-cause-for-a-non-healing-cutaneous-fistula-in-the-parotid-gland-area-a-case-report
#5
Alessandro Rabufetti, Marcello Augello, Alexander Husner, Georges Ghazal, Christoph Sebastian Leiggener
Introduction: Orocutaneous fistulae of dental origin are uncommon but well documented in the literature. This condition is often misdiagnosed because of the multiplicity of manifestations and the atypically presentation of the condition. Dental symptoms are rare. This makes diagnosis and treatment a challenging process. Presentation of a case: A 67-year-old patient presented in the emergency room with an abscess in the parotid area. After incision and drainage the patient developed a non-healing fistula in the region of the parotid...
September 2018: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/30151958/management-and-follow-up-results-of-salivary-fistulas-treated-with-botulinum-toxin
#6
Thorsten Send, Mattis Bertlich, Klaus W Eichhorn, Friedrich Bootz, Mark Jakob
OBJECTIVES/HYPOTHESIS: Salivary fistulas are a common minor complication of parotid surgery. botulinum toxin has repeatedly been reported to be an adequate treatment of this entity. To date, there is little scientific evidence for clinical decision making after appearance of a salivary fistula. STUDY DESIGN: Retrospective chart analysis of 16 patients who had been treated with botulinum toxin for salivary fistula. METHODS: All patients who had been treated for salivary fistula at a tertiary referral hospital from 2010 to 2016 were included...
August 27, 2018: Laryngoscope
https://www.readbyqxmd.com/read/30074221/application-of-delayed-surgical-managements-in-patients-with-stensen-s-duct-injury
#7
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
#8
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
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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