Nakamoto Kan, Niimi Yosuke, Osa Nagisa, Inoue Yoshiaki, Hori Keijiro, Sakurai Hiroyuki
Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Department of Emergency and Critical Care Medicine, University of Tsukuba, Ibaraki, Japan.
J Plast Reconstr Surg. 2022 Dec 6;2(3):94-97. doi: 10.53045/jprs.2022-0029. eCollection 2023 Jul 27.
A parotid fistula is a rare symptom, caused by abnormal canal between the skin and the salivary duct or gland, leading to salivary discharge from skin. A 53-year-old man suffered a severe facial, neck, and precordial flame burn, which was treated by multiple debridement and split-thickness-skin-grafts. After the release of cervical scar contracture with a distant flap, saliva discharge from small fistula became evident, following him coming to the authors' hospital for treatment of the scar contracture of the face and neck. The apertures of the fistula were located 2 cm cephalad. Computed tomography with contrast injected into the fistula revealed extension to the left parotid gland. Following from this, the site was covered with a free groin flap. Over two years after surgery, no recurrence of parotid fistula was observed.
腮腺瘘是一种罕见的症状，由皮肤与唾液导管或腺体之间的异常管道引起，导致唾液从皮肤排出。一名53岁男性遭受严重的面部、颈部和胸前火焰烧伤，经多次清创和中厚皮片移植治疗。在采用远位皮瓣松解颈部瘢痕挛缩后，患者因面部和颈部瘢痕挛缩前来作者所在医院治疗时，从小瘘口流出唾液的情况变得明显。瘘口位于头侧2厘米处。向瘘管内注入造影剂的计算机断层扫描显示瘘管延伸至左侧腮腺。此后，该部位用游离腹股沟皮瓣覆盖。术后两年多，未观察到腮腺瘘复发。
