Three cases of post-traumatic sialocele involving the parotid region and one case of post-traumatic mucocele involving the submandibular region are presented. Computed tomography (CT) with contrast showed enhancing borders after a few weeks. Cases earlier than 2 weeks from occurrence showed no enhancement because of the absence of a well-developed capsule. Patients who had the disease longer showed better enhancement of the periphery with contrast because of capsule development. By CT scanning alone it is difficult to differentiated these lesions from other cystic lesions of the face and neck, although certain characteristics like location and rim enhancement may favor one lesion over the other.
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http://dx.doi.org/10.1016/0899-7071(93)90012-c | DOI Listing |
Radiol Case Rep
November 2024
Department of Oral and Maxillofacial Radiology, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Parotid sialocele is characterized by a collection of saliva in the soft tissue surrounding the parotid gland. Etiology may be traumatic, iatrogenic, or laceration to the salivary duct or the gland parenchyma itself. We here report the case of a 40-year-old male patient who presented with a primary complaint of swelling on the right side of his face.
View Article and Find Full Text PDFAm J Case Rep
February 2022
Department of Radiology, Hospital Regional Universitario de Málaga, Málaga, Spain.
BACKGROUND Trauma to the left submandibular gland is an infrequent entity, with only a few cases reported in the literature. Recommended management consists of excision of the gland if trauma is suspected; if trauma is not clearly identified during the surgical exploration and the gland is not removed, post-traumatic complications such as fistula or sialocele may occur. In such cases, conservative measures including aspiration, pressure bandages, and anti-sialogogues are the first step of treatment and surgical excision is reserved for unsuccessful cases.
View Article and Find Full Text PDFAnn Med Surg (Lond)
December 2020
Faculty of Medicine and Pharmacy, Hassan II University of Casablanca, B.P, 5696, Casablanca, Morocco.
Introduction: A number of papers exist about post-traumatic silaocele. Iatrogenic sialocele has been described as complication of parotid surgery but there is no specific data about the cases of sialocele and salivary duct surgical injury in condylar fracture management.
Presentation Of Case: A 36-year-old man was reported to the maxillofacial emergency department for mandibular sub-condylar fracture and internal fixation of the sub-condylar fracture was planned.
Acta Otorhinolaryngol Ital
April 2017
Otolaryngology Section, Department of Neuroscience DNS, University of Padova, Italy.
Botulinum toxin (BTX) is a neurotoxic protein produced by Clostridium botulinum, an anaerobic bacterium. BTX therapy is a safe and effective treatment when used for functional silencing of the salivary glands in disorders such as sialoceles and salivary fistulae that may have a post-traumatic or post-operative origin. BTX injections can be considered in sialoceles and salivary fistulae after the failure of or together with conservative treatments (e.
View Article and Find Full Text PDFInt J Pediatr Otorhinolaryngol
December 2015
Department of Otolaryngology and Communication Sciences, Medical College of Wisconsin, Milwaukee, WI, United States.
Parotid sialoceles are bothersome complications of parotidectomy and penetrating injury to the parotid gland. Though typically self-limited and responsive to conservative management, they can be particularly difficult to manage in the pediatric population where even conservative interventions are less well tolerated. We present the case of a 4-year-old child with a post-traumatic parotid sialocele that was successfully managed with a single injection of botulinum toxin B.
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