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Delayed Management of Parotid Sialocele: Role for Two-week Intraoral Drainage. Curr Med Sci 2022; 42:902-904. [DOI: 10.1007/s11596-022-2619-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2019] [Accepted: 02/07/2020] [Indexed: 11/25/2022]
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Daniels KE, Schaitkin BM. An Update on Nontumorous Disorders of the Salivary Glands and Their Management for Internists. Med Clin North Am 2021; 105:839-847. [PMID: 34391537 DOI: 10.1016/j.mcna.2021.05.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Salivary disease may present as pain or swelling in unilateral or bilateral salivary glands. Symptoms may be periprandial or recurrent and inflammatory. If a patient fails conservative treatment, they should be referred to an otolaryngologist. If there is no clear cause based on history and physical examination, sialendoscopy can be performed to directly visualize tissues, provide a diagnosis, drive treatment plans, and sometimes concurrently provide therapeutic intervention. Based on the pathology visualized on sialendoscopy, treatment options include endoscopic intervention, Botox, and gland-preserving surgical techniques, which promote healing of glandular tissue, ultimately preserving function.
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Affiliation(s)
- Kelly E Daniels
- University of Pittsburgh Medical Center, 203 Lothrop Street, 5th Floor, Pittsburgh, PA 15213, USA
| | - Barry M Schaitkin
- University of Pittsburgh Medical Center, 203 Lothrop Street, 5th Floor, Pittsburgh, PA 15213, USA.
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Fukumasa H, Tsuda M, Ninomiya R, Kobayashi M, Nishiyama K, Ito A, Tasaki Y, Amamoto M. Parotid gland atrophy after conservative treatment of a post-traumatic parotid fistula in a two-year-old boy. Int J Pediatr Otorhinolaryngol 2020; 138:110326. [PMID: 32861193 DOI: 10.1016/j.ijporl.2020.110326] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Accepted: 08/18/2020] [Indexed: 10/23/2022]
Abstract
A parotid fistula is a rare complication following parotid gland and duct injury. A two-year-old boy with a previous parotid fistula after parotid injury due to a dog bite was successfully treated with pressure-dressing therapy, which is generally non-invasive and tolerable by young children. During follow-up, ultrasonography revealed atrophy of the parotid gland. This finding is consistent with the healing mechanism previously assumed in adult patients with a parotid fistula. Consideration should be paid to the possibility of oral environmental changes associated with reduced saliva secretion from parotid gland atrophy after conservative treatment of parotid fistula.
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Affiliation(s)
- Hiroshi Fukumasa
- Children's Medical Center, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
| | - Masayoshi Tsuda
- Department of Plastic Surgery, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
| | - Ryo Ninomiya
- Division of Critical Care Medicine, National Center for Child Health and Development, Ohkura 2-10-1, Setagaya-ku, Tokyo, 157-8535, Japan.
| | - Masashi Kobayashi
- Children's Medical Center, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
| | - Kazutaka Nishiyama
- Children's Medical Center, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
| | - Ayami Ito
- Department of Plastic Surgery, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
| | - Yukihiro Tasaki
- Department of Plastic Surgery, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
| | - Masano Amamoto
- Children's Medical Center, Kitakyushu City Yahata Hospital, 2-6-2 Ogura, Yahatahigashi-ku, Kitakyushu City, Fukuoka, 805-8534, Japan.
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