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碘仿纱布填塞是治疗腮腺术后瘘的一种替代疗法。

Iodoform Gauze Packing is an Alternative Therapy for Postoperative Parotid Fistula.

机构信息

Department of Obstetrics and Gynecology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology.

The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education.

出版信息

J Craniofac Surg. 2023;34(2):755-756. doi: 10.1097/SCS.0000000000009061. Epub 2022 Oct 11.

Abstract

Surgery-related salivary fistula is the result of intraoperative or postoperative parotid gland damage and extravasation of fluid secreted by acinar into the interstitial space. Most are treated conservatively. Local injection of botulinum toxin is an effective method, but it is relatively expensive and not available in some hospitals. In clinical practice, the authors observed that packing iodoform gauze from the fistula toward the parotid gland can quickly stop postoperative salivary fistula in several patients. This method is simple and easy to implement, and the effect is quick. The disappearance of the salivary fistula was observed on the next day after packing the iodoform gauze. Iodoform gauze packing is an alternative therapy for postoperative parotid fistula. It can be used in areas where botulinum toxin is not available.

摘要

手术相关的涎瘘是由于术中或术后腮腺损伤和腺泡分泌的液体外渗到细胞间质引起的。大多数情况下采用保守治疗。局部注射肉毒毒素是一种有效的方法,但价格相对较高,且不是所有医院都有。在临床实践中,作者观察到从瘘管向腮腺方向填塞碘仿纱条可以快速治愈几例术后涎瘘。该方法简单易行,效果迅速,碘仿纱条填塞后次日观察涎瘘消失。碘仿纱条填塞是治疗腮腺术后瘘的一种替代疗法,可用于肉毒毒素不可及的区域。

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