End-to-end anastomosis of transected parotid duct in an emergency department: Clinical benefits from immediate repair and overview of treatment options. Issue 6 (November 2019)

• Record Type: Journal Article
• Authors: Papadiochos, Ioannis; Strantzias, Paschalis; Mitsopoulos, Georgios; Melaki, Kalliopi
• Is Part Of: Journal of oral and maxillofacial surgery, medicine, and pathology. Volume 31:Issue 6(2019)
• Page Start: 420
• Page End: 423
• Publication Date: 2019-11
• Subjects: Parotid duct -- Injury -- Emergency department -- Anastomosis -- Immediate repair; Mouth -- Surgery -- Periodicals; Face -- Surgery -- Periodicals; Maxilla -- Surgery -- Periodicals; Oral medicine -- Periodicals; Mouth -- Diseases -- Pathogenesis -- Periodicals; Surgery, Oral -- Periodicals; Oral Medicine -- Periodicals; Pathology, Oral -- Periodicals; Face -- Surgery; Maxilla -- Surgery; Mouth -- Diseases -- Pathogenesis; Mouth -- Surgery; Oral medicine; Electronic journals -- Sciences; Electronic journals -- Medicine; Periodicals; 617.522059
• DOI: 10.1016/j.ajoms.2019.05.001
• Languages: English
• ISSNs: 2212-5566

Abstract

Abstract: Parotid duct injuries (PDIs) are not considered common complications of facial trauma. However, their associated morbidity may be increased by the formation of parotid sieloceles and fistulae. This article reports the case of a 31-year-old male patient who was presented to the emergency department of Evangelismos General Hospital of Athens, due to a sharp penetrating injury on left side of his face. Since transection of PD was clinically diagnosed, an end-to-end anastomosis was immediately carried out under local anesthesia. Within the early postoperative period, various angiocatheters of progressively increased diameters were used for stenting the repaired PD. After 10 months of follow-up, there were no clinical and ultrasonographic signs of sialocele or fistula formation. This case report aimed first to underscore the benefits of immediate surgical management in case of PDIs and second, to describe the postoperative management for maintenance of both PD patency and parotid gland function. PDIs in the context of emergency facial trauma are advisable to be timely recognized and treated immediately, by securing the saliva outflow to the oral cavity and maintaining a wide enough ductal lumen.