Mohan Ajay, Velu Deepak, Seshadri Purnima, Pannerselvam Elavenil
1Apollo Hospital, Karur, India.
2Department of Oral and Maxillofacial Surgery, Karpaga Vinayaga Institute of Dental Sciences, Kanchipuram (DT), Tamilnadu India.
J Maxillofac Oral Surg. 2020 Jun;19(2):225-229. doi: 10.1007/s12663-019-01192-2. Epub 2019 Jan 30.
Parotid gland and duct injuries are rare complications following surgery of parotid gland and temporomandibular joint. Sialocele is a cavity filled with saliva, usually formed as a result of trauma to salivary gland/duct or an iatrogenic complication of surgery. Several methods of managing parotid duct injury have been reported in the literature. In this article, we describe an indigenous way of internalisation of salivary fistula that resulted from traumatic injury to the parotid duct.
The authors present two cases of parotid sialocele managed using Foley's catheter through an intraoral opening, and catheter was internalised, secured and left in situ for 15 days.
The salivary flow was found to be normal through the intraoral opening, and no recurrence was observed postoperatively.
Parotid duct injury associated with sialocele and cutaneous salivary fistula could be effectively internalised using Foley's catheter, under local anaesthesia. This technique of internalisation of parotid sialocele is simple, less invasive and may be performed as an outpatient procedure.
腮腺及腮腺导管损伤是腮腺和颞下颌关节手术后罕见的并发症。涎囊肿是一个充满唾液的腔隙，通常因唾液腺/导管外伤或手术的医源性并发症形成。文献报道了几种处理腮腺导管损伤的方法。在本文中，我们描述了一种因腮腺导管外伤导致的涎瘘内引流的本土方法。
作者介绍了两例通过口腔开口使用Foley导管处理腮腺涎囊肿的病例，导管进行内引流、固定并留置15天。
经口腔开口唾液分泌正常，术后未观察到复发。
在局部麻醉下，使用Foley导管可有效将与涎囊肿和皮肤涎瘘相关的腮腺导管损伤进行内引流。这种腮腺涎囊肿内引流技术简单、侵入性小，可作为门诊手术进行。
