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REPAIR OF PAROTID FISTULA: A Case Report

REPAIR OF PAROTID FISTULA: A Case Report Abstract Though infrequent, parotid fistula, when it does occur, presents a challenging problem in management. This is so especially if one desires to maintain the function of the gland rather than resort to its ablation by either surgical or radiological means. The literature of the past 25 years includes relatively few papers on this subject. The treatment recommended in these falls conveniently into the following categories: Irradiation of the parotid gland Surgical treatment Use of an intraductal dowel Silkworm gut, horse hair, silk, etc. Metals * Ureteral catheters † Excision of fistula Interruption of auriculotemporal nerve Since the secretory component of the parotid gland is relatively sensitive to roentgen rays, only small doses are necessary to obtain temporary suppression of function. However, large doses are required to produce an absolute destruction of secretory activity,‡ such as would be necessary in a patient with complete References 1. Bornstein, L. A., and Simon, B. E.: Successful Primary Repair of Severed Parotid Duct , Plast. & Reconstruct. Surg. 6:217 ( (Sept.) ) 1950. 2. Seeley, R. C.: Maxillofacial Injuries: Reconstructive Surgery of the Dehiscent Parotid Duct and Dehiscent Peripheral Facial Nerve , Am. J. Surg. 73:551 ( (May) ) 1947. 3. Goodall, R. E., and Flanders, S. E.: Successful Primary Repair of Lacerated Stensen's Duct , Surgery 21:865 ( (June) ) 1947. 4. Sparkman, R. S.: Laceration of Parotid Duct: Further Experiences , Ann. Surg. 131:743 ( (May) ) 1950. 5. Reeves, R. J.: Roentgen Therapy of Bilateral Parotid Fistula , Am. J. Roentgenol. 43:425 ( (March) ) 1940. 6. Popma, A. M.: Radiation Treatment of Salivary Fistulae , Northwest. Med. 40:20 ( (Jan.) ) 1941. 7. Cook, J.: Treatment of Parotid Fistula , Lancet 1:1239 ( (May 30) ) 1936. 8. Muler, M.: Fistule parotidienne traitée par résection du nerf auriculo-temporal , Ann. oto.-laryng. 70:53, 1953. 9. Glascock, H., and Glascock, H., Jr.: Repair of Traumatic Fistulas of Stensen's Duct , Surg., Gynec. & Obst. 65:355 ( (Sept.) ) 1937. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives of Otolaryngology American Medical Association

REPAIR OF PAROTID FISTULA: A Case Report

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6894
DOI
10.1001/archotol.1955.00720020346007
Publisher site
See Article on Publisher Site

Abstract

Abstract Though infrequent, parotid fistula, when it does occur, presents a challenging problem in management. This is so especially if one desires to maintain the function of the gland rather than resort to its ablation by either surgical or radiological means. The literature of the past 25 years includes relatively few papers on this subject. The treatment recommended in these falls conveniently into the following categories: Irradiation of the parotid gland Surgical treatment Use of an intraductal dowel Silkworm gut, horse hair, silk, etc. Metals * Ureteral catheters † Excision of fistula Interruption of auriculotemporal nerve Since the secretory component of the parotid gland is relatively sensitive to roentgen rays, only small doses are necessary to obtain temporary suppression of function. However, large doses are required to produce an absolute destruction of secretory activity,‡ such as would be necessary in a patient with complete References 1. Bornstein, L. A., and Simon, B. E.: Successful Primary Repair of Severed Parotid Duct , Plast. & Reconstruct. Surg. 6:217 ( (Sept.) ) 1950. 2. Seeley, R. C.: Maxillofacial Injuries: Reconstructive Surgery of the Dehiscent Parotid Duct and Dehiscent Peripheral Facial Nerve , Am. J. Surg. 73:551 ( (May) ) 1947. 3. Goodall, R. E., and Flanders, S. E.: Successful Primary Repair of Lacerated Stensen's Duct , Surgery 21:865 ( (June) ) 1947. 4. Sparkman, R. S.: Laceration of Parotid Duct: Further Experiences , Ann. Surg. 131:743 ( (May) ) 1950. 5. Reeves, R. J.: Roentgen Therapy of Bilateral Parotid Fistula , Am. J. Roentgenol. 43:425 ( (March) ) 1940. 6. Popma, A. M.: Radiation Treatment of Salivary Fistulae , Northwest. Med. 40:20 ( (Jan.) ) 1941. 7. Cook, J.: Treatment of Parotid Fistula , Lancet 1:1239 ( (May 30) ) 1936. 8. Muler, M.: Fistule parotidienne traitée par résection du nerf auriculo-temporal , Ann. oto.-laryng. 70:53, 1953. 9. Glascock, H., and Glascock, H., Jr.: Repair of Traumatic Fistulas of Stensen's Duct , Surg., Gynec. & Obst. 65:355 ( (Sept.) ) 1937.

Journal

A.M.A. Archives of OtolaryngologyAmerican Medical Association

Published: Mar 1, 1955

References