Diagnosis and therapeutic management of iatrogenic parotid sialocele

Pasquale Capaccio, Massimo Paglia, Davide Minorati, Raffaele Manzo, Francesco Ottaviani

Research output: Contribution to journalArticle

Abstract

Salivary gland sialoceles are relatively common and may be a complication of trauma with a penetrating salivary gland injury or may be a complication of salivary gland surgery. The development of new diagnostic tools such as magnetic resonance sialography and endoscopic techniques has led to further improvements in the clinical and diagnostic assessment of this condition, and botulinum toxin therapy has recently been described in the management of parotid sialoceles. We here report the case of a 41-year-old patient with an unusually complicated parotid sialocele following an unsuccessful attempt to remove a stone located in the distal third of Stensen's duct. Magnetic resonance sialography and sialoendoscopy were used in order to obtain an adequate diagnostic assessment. The patient underwent extracorporeal lithotripsy that led to partial symptom regression. After the development of a parotid abscess, he received antibiotics and a botulinum toxin type A injection that induced spontaneous drainage and disappearance of the symptoms. Magnetic resonance sialography and sialoendoscopy are promising new diagnostic techniques for better noninvasive management of iatrogenic sialoceles.

Original languageEnglish
Pages (from-to)562-564
Number of pages3
JournalAnnals of Otology, Rhinology and Laryngology
Volume113
Issue number7
Publication statusPublished - Jul 2004

Fingerprint

Sialography
Salivary Glands
Magnetic Resonance Spectroscopy
Salivary Ducts
Type A Botulinum Toxins
Botulinum Toxins
Lithotripsy
Wounds and Injuries
Abscess
Drainage
Therapeutics
Anti-Bacterial Agents
Injections

Keywords

  • Botulinum toxin therapy
  • Extracorporeal lithotripsy
  • Iatrogenic sialocele
  • Magnetic resonance sialography
  • Sialoendoscopy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Capaccio, P., Paglia, M., Minorati, D., Manzo, R., & Ottaviani, F. (2004). Diagnosis and therapeutic management of iatrogenic parotid sialocele. Annals of Otology, Rhinology and Laryngology, 113(7), 562-564.

Diagnosis and therapeutic management of iatrogenic parotid sialocele. / Capaccio, Pasquale; Paglia, Massimo; Minorati, Davide; Manzo, Raffaele; Ottaviani, Francesco.

In: Annals of Otology, Rhinology and Laryngology, Vol. 113, No. 7, 07.2004, p. 562-564.

Research output: Contribution to journalArticle

Capaccio, P, Paglia, M, Minorati, D, Manzo, R & Ottaviani, F 2004, 'Diagnosis and therapeutic management of iatrogenic parotid sialocele', Annals of Otology, Rhinology and Laryngology, vol. 113, no. 7, pp. 562-564.
Capaccio, Pasquale ; Paglia, Massimo ; Minorati, Davide ; Manzo, Raffaele ; Ottaviani, Francesco. / Diagnosis and therapeutic management of iatrogenic parotid sialocele. In: Annals of Otology, Rhinology and Laryngology. 2004 ; Vol. 113, No. 7. pp. 562-564.
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