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Botulinum toxin type b for the treatment of a sialocele after parotidectomy
Author(s) -
Pantel Mira,
Volk Gerd Fabian,
Guntinas–Lichius Orlando,
Wittekindt Claus
Publication year - 2013
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21778
Subject(s) - medicine , parotidectomy , parotid gland , botulinum toxin , surgery , local anesthesia , head and neck , infiltration (hvac) , facial nerve , pathology , physics , thermodynamics
Background A 41‐year‐old male patient developed a sialocele after partial parotidectomy for a parotid pleomorphic adenoma. The sialocele was effectively treated by a single injection with botulinum toxin type B combined with multiple needle aspirations. Methods Ultrasound‐guided infiltration of 2500 mouse‐units of botulinum toxin type B in the residual parotid gland tissue under local anesthesia. Repeated needle aspirations were performed before and after the infiltration. Results Ten days after the injection, the patient was free of any discomfort. Conclusion Botulinum toxin type B is effective in the management of postoperative sialocele after parotid gland surgery. © 2011 Wiley Periodicals, Inc. Head Neck, 2013