Iatrogenic Parotid Sialocele following Rhytidectomy: Diagnosis and Treatment

Barron, Robert P.; Margulis, Alex; Icekson, Michael; Zeltser, Rephael; Eldad, Arieh; Nahlieli, Oded

doi:10.1097/00006534-200111000-00056

Cited by 18 publications

(33 citation statements)

References 4 publications

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“…Injury to the parotid gland during surgery and penetrating trauma are the two most frequent causes of parotid fistulas 6 . The reduced structural durability of the inferior aspect of the parotid makes the region of the tail more vulnerable and prone to fistula formation and salivary leak when injured 1 . Ductal fistulas creating sialoceles generally require surgical intervention best performed by primary closure.…”

Section: Discussionmentioning

confidence: 99%

“…A few more suggestions might help to minimize the number of iatrogenic injuries of the salivary glands and ducts 1 . Convenient identification method is preoperative intravital staining of the parotid gland with methylene blue (MB).…”

Section: Discussionmentioning

confidence: 99%

“…An injury to either the capsule or the parenchyme of the parotid gland or to its ductal system can lead to compression and laceration of the salivary system following formation of a salivary pseudocyst (sialocele), parotid fistula, permanent swelling during meals, or dry mouth if the gland does not function. These postoperative complications, though quite uncommon, have been documented as one of the side effects of face‐lift procedures 1,2 . The iatrogenic surgical traumatization of salivary glands due to rejuvenation procedures is not currently attracting much attention.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic Treatment of Salivary Gland Injuries due to Facial Rejuvenation Procedures

et al. 2008

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The main reasons for salivary gland injuries due to facial rejuvenation procedures in our patients were: poor anatomical identification of the border between the superficial muscular aponeurotic system (SMAS) and the parotid capsule; penetration of the salivary gland capsule by blunt or sharp dissection; unnecessary use of sharp-tip scissors; and a tear of the salivary duct by hooks during a face-lift procedure. Plastic surgeons should be aware of these complications and try to improve their techniques accordingly. To avoid atrophy of the salivary gland, once the diagnosis it made, it is advisable to send the patient to a maxillofacial or ENT surgeon skilled in endoscopy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endoscopic Treatment of Salivary Gland Injuries due to Facial Rejuvenation Procedures

et al. 2008

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“…Parotid gland injury is a well‐recognized complication of parotidectomy, rhytidectomy, parotid calculi ulceration, and penetrating trauma to the parotid gland 3,4 . Parotid gland fistula and sialocele formation can result from injury to the parotid parenchyma or ductal system 5 . We report a patient with postsurgical parotid gland sialocele successfully managed with conservative treatment.…”

Section: Discussionmentioning

confidence: 98%

Iatrogenic Parotid Sialocele After Excision of Malignant Melanoma of the Cheek

Abramova

Mann

Hessler

et al. 2008

Dermatologic Surgery

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“…Clinical assessment may be inaccurate in these cases 4,24 . However, soft and mobile lesions had also been described when they are more superficial 7 .…”

Section: Discussionmentioning

confidence: 99%

Management of a parotid sialocelein a young patient: case report and literature review

et al. 2010

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Sialocele is a subcutaneous cavity containing saliva, caused by trauma or infection in the parotid gland parenchyma, laceration of the parotid duct or ductal stenosis with subsequent dilatation. It is characterized by an asymptomatic soft and mobile swelling on the parotid region. Imaging studies are useful and help establishing the diagnosis, such as sialography, ultrasonography, computed tomography and magnetic resonance imaging. This paper describes a recurrent case of a parotid sialocele in a young female patient. She presented a 6 cm x 5 cm swelling on the left parotid region. The ultrasonographic scan of the area revealed a hypoechoic ovoid well defined image suggesting a cyst. A sialography of the left parotid showed a cavitary sialectasia in a panoramic and anteroposterior view. A conservative management was adopted by percutaneous needle aspiration of the swelling, which was useful to provide material for analysis and helped healing. Dentists should be aware of this pathology and the importance in adopting a conservative treatment whenever it is possible.

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Iatrogenic Parotid Sialocele following Rhytidectomy: Diagnosis and Treatment

Cited by 18 publications

References 4 publications

Endoscopic Treatment of Salivary Gland Injuries due to Facial Rejuvenation Procedures

Endoscopic Treatment of Salivary Gland Injuries due to Facial Rejuvenation Procedures

Iatrogenic Parotid Sialocele After Excision of Malignant Melanoma of the Cheek

Management of a parotid sialocelein a young patient: case report and literature review

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