Zwaveling Sander, Steenvoorde Pascal, da Costa Stephen Andrew
Department of Surgery, Rijnland Hospital, Leiderdorp, Netherlands.
Acta Medica (Hradec Kralove). 2006;49(1):67-9.
Although fistulae resulting from superficial parotidectomy represent a serious problem, there is still little consensus on the optimal treatment. Some suggest management by applying dressings, while others advise surgery. In recent years several other strategies have been proposed. In this manuscript, we present two cases of postparotidectomy fistulae treated by injection with fibrin tissue glue (Tissucol Duo 500, Baxter AG, Vienna, Austria). Furthermore, a review of the literature is presented. In both patients the fistulae completely healed within months without complications. A literature search revealed that this is the first time postparotidectomy fistulae were treated this way. We conclude that postparotidectomy fistulae can be effectively treated with fibrin glue. Moreover, this treatment is simple, safe and has no side effects.
尽管腮腺浅叶切除术后形成的瘘管是一个严重问题，但对于最佳治疗方法仍几乎没有共识。一些人建议通过应用敷料进行处理，而另一些人则建议手术治疗。近年来还提出了其他几种策略。在本手稿中，我们展示了两例通过注射纤维蛋白组织胶（Tissucol Duo 500，百特医疗保健有限公司，维也纳，奥地利）治疗的腮腺切除术后瘘管病例。此外，还对文献进行了综述。两名患者的瘘管均在数月内完全愈合且无并发症。文献检索显示，这是首次采用这种方法治疗腮腺切除术后瘘管。我们得出结论，纤维蛋白胶可有效治疗腮腺切除术后瘘管。此外，这种治疗方法简单、安全且无副作用。
