INTRAORAL TRANSPOSITION OF TRAUMATIC PAROTID DUCT FISTULA: A CASE REPORT

Abstract

Introduction: Parotid fistula is a rare, devastating disease. It consists of a communication duct between the salivary gland or duct and the skin, through which saliva is discharged. The most frequent etiologies are accidental trauma or a post-operative complication after parotid gland surgery or rhytidectomy. Case report: The case is described of a parotid fistula following injury by a sword. A 26 years old patient who injured by sword and after suture removal he developed swelling at pre-auricular region. Conservative treatment, consisting of antisialogogues was given but swelling was not decreased. The choice of surgical therapy, as opposed to a conservative treatment, was made to create a new path of salivary duct opening into the oral cavity. Results: 15 days after creating a new path, salivary flow comes into the oral cavity and extra-oral swelling was disappeared. Conclusion: The use of this surgical approach is recommended to create a new path for parotid duct.