Rajeev R, Sajesh S, Jose Mathew, Kumar N Dhineksh
Department of Oral and Maxillofacial Surgery, Sree Mookambika Institute of Dental Sciences, Kanyakumari, Tamil Nadu, India.
Natl J Maxillofac Surg. 2016 Jul-Dec;7(2):201-204. doi: 10.4103/0975-5950.201363.
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. The various conservative methods and surgical management for this condition are discussed.
在经腮腺入路进行下颌髁突骨折切开复位内固定手术过程中，医源性损伤和/或损伤腮腺涎腺是一种罕见事件。涎液在腺体内积聚导致涎囊肿形成。巨大涎囊肿常通过口外伤口经最依赖部位引流，而在无口外瘘的情况下，可使用支架将涎液引至口内。本文报道了1例经腮腺入路进行髁突下骨折复位时因腺体损伤导致涎囊肿的处理病例。并讨论了针对这种情况的各种保守方法和手术治疗方法。
