Management of an unusual case of iatrogenic parotid sialocele using an infant feeding tube: a novel approach

BMJ Case Rep. 2014 Oct 19:2014:bcr2014205845. doi: 10.1136/bcr-2014-205845.

Abstract

Injuries to the parotid duct and parenchyma resulting in swelling in the cheek region commonly present in maxillofacial practice. Sialocele is a discrete collection of saliva in a subcutaneous cavity that can be iatrogenic, idiopathic or the result of post-traumatic injuries to the duct or parenchyma, presenting as a salivary pseudocyst or retention cyst. We present an unusual case of parotid sialocele following surgery for sialolithiasis which presented with progressive painless swelling in the preauricular region of 9 months duration. Treatment included surgical exploration under local anaesthesia and draining the cavity by keeping the opening patent using an infant feeding tube.

Publication types

  • Case Reports

MeSH terms

  • Anesthetics, Local
  • Drainage / instrumentation*
  • Drainage / methods
  • Enteral Nutrition / instrumentation
  • Humans
  • Iatrogenic Disease*
  • Male
  • Middle Aged
  • Parotid Diseases / surgery*
  • Parotid Gland / surgery*
  • Postoperative Complications / surgery*
  • Saliva
  • Salivary Gland Calculi / surgery*

Substances

  • Anesthetics, Local