Rojas VJM, Villegas GJ, Arias PCA, Castillo BLM, García GH, Gudiño MRA

Language: Spanish
References: 7
Page: 60-64
PDF size: 255.20 Kb.

ABSTRACT

Introduction: parotid gland sialocele is an acquired lesion characterized by the accumulation of extravasated saliva around the secretory tissues of the salivary glands. It is also defined as inflammation of fluctuating consistency, asymptomatic and mobile that can appear in the parotid and submandibular region. Objective: to describe the surgical management of post-traumatic parotid sialocele. Case description: 38-year-old male patient, who after a penetrating facial trauma with a sharp weapon in the left parotid region, was transferred to the emergency room, where he was given primary care. Subsequently, he is evaluated by outpatient, showing increased volume and serous secretion in the left parotid region, which is performed drainage and left parotid duct is evidenced not permeable, which is why it is decided to surgical resolution under general anesthesia; the peripheral venous catheter was introduced through the papilla of the left parotid duct; it was permeabilized and recanalization was verified, the catheter was fixed to the left jugal mucosa and tissue synthesis was performed. The patient was kept under intrahospital care and was evaluated by outpatient; in which the correct functioning and drainage of the gland and parotid duct was observed, with no evidence of extraoral volume increase. Conclusion: there are different treatments for the management of sialoceles, most of them are conservative treatments, however, in cases where conservative management is not possible, surgical resolution should be used for recanalization and permeabilization of the affected duct.

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