Mikrochirurgische Reanastomosierung des Ductus parotideus

Abstract

Deep injuries to the parotid region may result in trauma to vital structures: i.e., the parotid gland and duct and the facial nerve and its branches. While there is no doubt concerning primary microsurgical reconstruction of injuries to the facial nerve clinical approaches for treating disruptions of the parotid duct have been controversial. A case report is presented of a secondarily reanastomosed parotid duct following complete transection. The microsurgical technique and its indications are discussed.

Surgical management of Stenson’s duct injury by using double J stent urethral catheter

“…Immediate microsurgical anastomosis of the parotid duct injury is [ Fig. 2 ] one of the modalities of treatment which possibly prevents such complications [1] , [14] , [15] . Staining with methylene blue dye is a well-documented technique for diagnosing ductal injures for retrograde filling of the duct from orifice and its subsequent leak from the injured duct in the wound as it maintains the contrast with tissues [2] , [14] .…”

“…In maxillofacial injuries deep penetrating wounds over the buccal area are common. In such situations many vital structures such as parotid duct, facial nerve branches and facial artery are vulnerable to injury [1] . Parotid duct injuries include ductal exposure, total cut, laceration and crush.…”

Therapie nichttumoröser Speicheldrüsenerkrankungen und postoperativer Komplikationen

“…B. Einzelknopfnähte mit 10,0 Prolene) und Schienung des genähten Ganges mit einem Silikonkatheter (z. B. C-Line Canaliculus Intubation Set, XOMED-Treace) über einen Zeitraum von 2 ± 3 Wochen erfolgen [86]. Andererseits wurde empfohlen, den Katheter bereits früher (z.…”

“…Wenngleich die besten Vorausetzungen für einen derartigen Eingriff bei möglichst kurzfristiger operativer Intervention (innerhalb von 24 h) gegeben sind [234], so kann trotz zu erwartender Mazeration des Gewebes durch Speichelsekret auch noch nach Tagen eine Gangrekonstruktion versucht werden [86] (Abb. 11).…”