Stensen Duct Rupture (Sialocele) and Other Complications of the Aptos Thread Technique

Abstract

Describing complications may teach plastic surgeons more about this method and how to avoid similar devastating side effects in the future.

Redefining the Surface Anatomy of the Parotid Duct

“…19,40,41 Procedures in which the parotid duct is at risk of iatrogenic injury or transection include injection of botulinum toxin for masseter muscle disorders 4 and facial rejuvenation operations such as rhytidectomy. 5,6,42 CONCLUSIONS Current surface markings for the parotid duct in adults are inaccurate. In most individuals, the duct is better represented as lying within 1.5 cm of the middle half of a line between the lower border of the tragus and the angle of the mouth (Fig.…”

“…3 The duct may be severed by a facial laceration and is also at risk of iatrogenic injury during injection of botulinum toxin into the masseter muscle 4 and facial rejuvenation surgery. 5,6 Accurate knowledge of its surface anatomy is therefore important. However, the surface marking of the duct varies between and within some reference texts in head and neck/otolaryngology, 7-10 maxillofacial surgery, [11][12][13] plastic surgery, 14,15 and anatomy.…”

Experience in Preventive Measures and Treatment of Complications at Face and Neck Thread Rejuvenation

“…In our clinical practice we have not come across the hematomas that needed emptying, macrovessel and nerve trunk continuity solution. However, there is a case of Stenon duct continuity solution described in literature that needed operative surgical intervention in order to be treated [13]. The cases of early soft tissues ptosis relapse are especially worth noticing.…”

Early Complications from Absorbable Anchoring Suture Following Thread-Lift for Facial Rejuvenation.

“…Injury to the parotid gland and duct is one of the most dangerous complications during the thread lifting [12]. Anatomically, procedures should be done carefully at the inferior side of the parotid gland and from the posterior side of the masseter to the mandible angle because they are tightly attached to superficial facial fascia (SMAS) and parotidomasseteric fascia [13].…”