
Sialocele: A rare sequlae of transparotid approach in subcondylar fracture management
Author(s) -
R Rajeev,
S Sajesh,
Mathew Jose,
Narendra Kumar
Publication year - 2016
Publication title -
national journal of maxillofacial surgery
Language(s) - English
Resource type - Journals
eISSN - 2229-3418
pISSN - 0975-5950
DOI - 10.4103/0975-5950.201363
Subject(s) - medicine , iatrogenic injury , condyle , internal fixation , reduction (mathematics) , temporomandibular joint , parotid gland , fistula , stent , dentistry , surgery , orthodontics , geometry , mathematics
Iatrogenic injury and/or damage to the parotid salivary gland during transparotid approach for open reduction and internal fixation of mandibular condyle fracture is a rare event. Accumulation of saliva in the gland leads to formation of a sialocele. Huge sialocele often seeks drain through the most dependent area through an extraoral wound, whereas in the absence of extraoral fistula, saliva can be redirected intraorally using a stent. A case of mangement of sialocele caused by damage to glandular elements during a transparotid approach for a subcondylar fracture reduction is reported. The various conservative methods and surgical management for this condition are discussed.