Journal of Craniofacial Research

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Battle-Axe Injury to the Side of the Face: Involvement of the Parotid and its Implications: Case Report

Adwait U Kulkarni, Gardellini Tatiana, Aniruddha M Wankhade, Deepak Kaul

Abstract


Fistulas of the parotid gland occur as a result of either ductal or parenchymal injury. The most common etiologies are
postoperative complication after parotid gland surgery and trauma. Numerous methods including pressure dressing, total
parotidectomy, tympanic neurectomy, radiotherapy, and pharmacotherapy have been advocated in the treatment of salivary
fistulas, but none of these has proven to be totally satisfactory. The use of transdermal scopolamine and glycopyrrolate
in injectable or oral form, have recently been described in the management of post-traumatic parotid fistulas. We report
the case of a 38-year-old male with a parotid fistula secondary to penetrating battle-axe injury successfully treated using
glycopyrrolate, which finds only rare reference in world literature.

Keywords


salivary fistula, trauma, glycopyrrolate, contuse acewound (CLW), facial nerve

Full Text:

References


Ananthakrishnan N, Parkash S. Parotid fistulas: A review. Br J Surg 1982;69(11):641–643.

Cavanaugh K, Park A. Postparotidectomy fistula: A different treatment for an old problem. Int J Pediatr Otorhinolaryngol 1999;47(3):265–268.

Stewart M. Parotid trauma and salivary fistula. Colour atlas and Text of the Salivary glands. p 327.

Sinha P. Successful treatment of parotid fistula with tympanic neurectomy. Indian J Otolaryngol Head Neck Surg July –September 2008;60:227–230.

Marchese-Ragona R, De Filippis C, Staffieri A, Restivo DA, Restino DA. Parotid gland fistula: Treatment with botulinum toxin. Plast Reconstr Surg 2001;107:886–887.

Lewkowicz AA, Hasson O, Nahlieli O. Traumatic injuries to the parotid gland and duct. J Oral Maxillofac Surg 2002;60(6):676–680.

Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A. Treatment of complications of parotid gland surgery. Acta Otorhinolaryngol Ital 2005;25:174–178.

Van Sickels JE. Management of parotid gland and duct injuries. Oral Maxillofac Surg Clin North Am May 2009;21(2):243–246.

Demetriades D, Rabinowitz B. The management of parotid sialoceles: Simple surgical technique. Br J Surg 1987;74(4):309.

Mandour MA, El-Sheikh MM, El-Garem F. Tympanic neurectomy for parotid fistula. Arch Otolaryngol 1976;102(6):327–329.

Wallenborn WM, Sydnor TA, Hsu YT, Fiz-Hugh OS. (1964) Experimental production of parotid gland atrophy by ligation of Stenson’s duct and by irradiation. Laryngoscope 74:644–655.

Parekh D, Glezerson G, Stewart M, Esser J, Lawson HH. Posttraumatic parotid fistulae and sialoceles. Ann Surg 1989;209(1):105–111.

Ju DMC. Salivary gland tumors after radiation of head and neck area. Am J Surg 1968;116:518–523.

Hall DH, Schneyer CA. Role of autonomic pathways in disuse atrophy of rat parotid. Proc Soc Exp Biol Med 1973;143(1):19–22.

Guntinas-Lichius O. Increased botulinum toxin type A dosage is more effective in patients with Frey’s syndrome. Laryngoscope 2002;112(4):749–756.

Zwaveling S, Steenvoorde P, da Costa SA. Treatment of postparotidectomy fistula with fibrin glue. Acta Medica (Hradec Kralove) 2006;49(1):67–69.

Ellis DA, Pelausa EO. Fibrin glue in facial plastic and reconstructive surgery. J Otolaryngol 1988;17(2):74–77.

Evatt M. Oral glycopyrrolate for the treatment of chronic severe drooling caused by neurological disorders in children. Neuropsychiat Dis Treat 2011;7:543–547.

Mirakhu RK, Dundee JW. Comparison of the effect of atropine and glycopyrrolate on various end-organs. J R Soc Med 1980;73:727–730.


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