Giant sialocele following facial trauma

Abstract

Injuries in the parotid and masseter region can cause serious impairment secondary to damage of important anatomical structures. Sialocele is observed as facial swelling associated with parotid duct rupture due to trauma. The aim of this paper is to report a case of a giant traumatic sialocele in the parotid gland, secondary to a knife lesion in a 40-year-old woman. Conservative measures could not promote clinical resolution and a surgical intervention for the placement of a vacuum drain was selected. Under local anesthesia, a small incision was performed adjacent to parotid duct papilla, followed by muscular divulsion and draining of significant amount of saliva. An active vacuum suction drain was placed for 15 days, aiming to form a new salivary duct. This technique was shown to be a safe, effective and low-cost option, leading to complete resolution and no recurrence after 28 months of follow up.

Use of Botulinum Toxin Type A Injection Under Ultrasonographic Guidance for Management of Parotid Sialocele: A Case Report and Literature Review

“…An imaging study, including high resolution ultrasonography, is considered helpful for identifying ductal injury, size, location of the cyst, and fistula formation. Sialography is also considered a mainstay for diagnosis and evaluation but may increase the pressure in the sialocele, causing rupture and fistula [3]. Management for sialocele is diverse from conservative treatment to radical surgical modalities, and factors to be considered are time elapsed since injury, gland site affected, trauma mechanism, and experience of the surgeon [4].…”

Management of an unusual case of iatrogenic parotid sialocele using an infant feeding tube: a novel approach

“…Sialocele or salivary pseudocyst is an uncommon complication following trauma or surgery involving the parotid gland 1 2. A sialocele is an extraglandular collection of saliva in a subcutaneous cavity following disruption of the parotid duct or parenchyma 3 4.…”

A Giant Sialocele Caused By a Stab Wound: Case Report

“…If conservative treatment options and subsequent surgical methods get unsuccessful results, drain placement can be an assessable option. 6,9 Conservative approaches are percutaneous aspiration, compress application and antisialogogue medication. 10 As an adjuvant treatment; parenteral nutrition treatment is reported to reduce the stimulation of salivary gland.…”

“…5 Treatment of sialocele with intraoral parotid duct catheterization as reported in the present case, has been also reported with successful results without recurrence in several articles. 6,9,17 The drain is left in place for ten days to one month after catheterization or marsupialization. 9,17 In our case, Stensen duct was reconstructed with catheter through intra and extra oral approaches.…”

“…6,9,17 The drain is left in place for ten days to one month after catheterization or marsupialization. 9,17 In our case, Stensen duct was reconstructed with catheter through intra and extra oral approaches. The drains were well tolerated by the patients and remained in its place for 15 days.…”