Treatment of Parotid Fistula with Type A Botulinum Toxin: A Case Report
Journal of the Korean Cleft Palate-Craniofacial Association
; : 129-131, 2011.
Article
em En
| WPRIM
| ID: wpr-58322
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
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Índice:
WPRIM
Assunto principal:
Glândula Parótida
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Recidiva
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Toxinas Botulínicas
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Bochecha
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Seguimentos
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Toxinas Botulínicas Tipo A
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Ingestão de Alimentos
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Fístula
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Amilases
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Aged
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Female
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Humans
Idioma:
En
Revista:
Journal of the Korean Cleft Palate-Craniofacial Association
Ano de publicação:
2011
Tipo de documento:
Article