Labboz P, Antoine P, Marthouret M, Raphael B
Rev Stomatol Chir Maxillofac. 1978;79(6):467-74.
On the basis of 15 cases, the authors define their attitude to traumatic lesions of the parotid salivary system. In the first place, such lesions must be accurately diagnosed by careful examination and catheterisation of the papilla. This simple manoeuvre makes it possible to avoid emergency sialography. Secondly, treatment varies according to the type of lesion: with a lesion of the facial nerve, suture or nerve graft in the case of loss of substance; with a minimal parenchymatous lesion, observation is necessary after the avoidance of surgery or drainage; with a severe parenchymatous lesion, parotidectomy is necessary, with exploration of the facial nerve.
基于15个病例，作者阐述了他们对腮腺涎腺系统创伤性损伤的处理态度。首先，此类损伤必须通过仔细检查和对乳头进行插管来准确诊断。这一简单操作可避免进行急诊涎腺造影。其次，治疗方法因损伤类型而异：面神经损伤时，若有神经实质缺失则进行缝合或神经移植；对于轻微的实质损伤，在避免手术或引流后需进行观察；对于严重的实质损伤，则需进行腮腺切除术并探查面神经。
