Parotid fistulae are a very infrequent complication after ear reconstruction in microtia when the local conditions are favorable. We report 2 cases of salival fistulae after microtic ear reconstruction. Timing of the diagnosis is important to decide the treatment. We recommend conservative management by restricted citric diet in early postoperative salival fistulae and Botox injections in the case that it persists.
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Salival fistulae: a rare complication after microtic ear reconstruction.
J Craniofac Surg
March 2011
Pediatric Plastic Surgery Unit, Dr. Luis Calvo Mackenna Hospital, and Pediatric Plastic Surgery Unit, Clínica las Condes, Faculty of Medicine, Universidad de Chile, Santiago, Chile.
Parotid fistulae are a very infrequent complication after ear reconstruction in microtia when the local conditions are favorable. We report 2 cases of salival fistulae after microtic ear reconstruction. Timing of the diagnosis is important to decide the treatment.
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Acta Otorrinolaringol Esp
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Servicio de Otorrinolaringología y PCF, Hospital Universitario de Salamanca, Salamanca, España.
Aorto-oesophageal fistula is a well-reported pathology with several known causes. The co-existence of this pathology associated with the use of a Montgomery salivary bypass tube (MSBT) is exceptional and only one case is described in the literature. We present here a case report about an 81-year-old patient with an MSBT who died because of a massive upper gastrointestinal bleeding caused by an aorto-oesophageal fistula at the site of the MSBT.
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January 2008
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Acta Otorrinolaringol Esp
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Acta Otorrinolaringol Esp
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Montgomery salivary bypass tube is an effective therapeutic option in the treatment of the pharyngocutaneous fistulas following laryngectomy. The original insertion technique requires general anesthesia to introduce the tube with direct vision of the hypopharynx. In this paper we present an insertion method based in the Seldinger technique that allows the placement of the tube under local anesthesia in a rapid fashion and well tolerated by the patients.
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