eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2013
vol. 8
 
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abstract:
Original paper

Original paper
adjuvant botulinum toxin injection

Tomasz Kopeć
,
Małgorzata Wierzbicka
,
Witold Szyfter

Videosurgery Miniinv 2013; 8 (2): 112-116
Online publish date: 2013/01/21
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Introduction: Stensen's duct injuries are uncommon but troublesome sequelae of facial surgery or other external traumas.

Aim: To investigate the feasibility of sialendoscopic control of Stensen’s duct in iatrogenic injuries and the efficiency of botulinum toxin adjuvant therapy.

Material and methods: In 2008 and 2010, 5 patients with parotid sialoceles or fistulas, infrequent complications after plastic surgery or trauma, were treated in a single institution, Poznan University of Medical Sciences ENT Department. The group consisted of 5 patients with diagnosed Stensen’s duct injuries, which were post-surgery and post-traumatic sequelae. All were treated by means of open surgery. Botulinum toxin injection was administered during the procedure to decrease the saliva secretion and to improve the healing process. A sialendoscopy was performed to control the lumen of the junction after the duct injury was repaired.

Results: Complete healing of the fistulas and sialoceles after the reparative surgery followed by a single botulinum toxin application was observed in all patients within 10-14 days. No side effects were noticed.

Conclusions: Our findings suggest that sialendoscopy is a valuable tool and an important step of control in the surgery of parotid duct injuries and the injection of botulinum toxin is an effective and safe second-line treatment.
keywords:

Stensen's duct injuries, sialendoscopy, botulinum toxin

  
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