Treatment of Parotid Fistula with Type A Botulinum Toxin: A Case Report
Journal of the Korean Cleft Palate-Craniofacial Association
;
: 129-131, 2011.
Article
in English
| WPRIM
| ID: wpr-58322
ABSTRACT
PURPOSE:
The purpose of this report is to present a case of persistent parotid fistula treated successfully with preoperative botulinum toxin type A injection into the parotid parenchyma, followed by fistulectomy.METHODS:
A 72-year-old female patient presented to the hospital with a 5-month history of clear, watery discharge from a tiny opening on the left cheek, which increased during food intake. A chemistry test of the fluid revealed an high amylase level. An ultrasonography of left parotid gland showed a 1.13x0.6cm sized fistula. After demarcating the left parotid gland with assistance of ultrasonography, a total 40 units of botulinum toxin type A(Botox, Allergan, Irvine, CA) was injected into 4 subdivisions of the left parotid gland. The clear serous discharge ceased completely on the 5th day after botulinum toxin injection. On the 7th day, a fistulectomy was performed under the local anesthesia.RESULTS:
The parotid fistula healed completely without complications. During the 6-month follow up period, there was no discharge from the cheek.CONCLUSION:
On the basis of our experience with type A botulinum toxin as a local anticholinergic agent in treating parotid fistula, preoperative botulinum toxin A injection seems to be very useful to prevent recurrence after fistulectomy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Parotid Gland
/
Recurrence
/
Botulinum Toxins
/
Cheek
/
Follow-Up Studies
/
Botulinum Toxins, Type A
/
Eating
/
Fistula
/
Amylases
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Journal of the Korean Cleft Palate-Craniofacial Association
Year:
2011
Type:
Article
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