RESUMO
We have followed 14 patients for up to 6 years after they had submaxillary gland resections and parotid duct ligations for drooling. Good to excellent results were found in more than 85 percent of them in the control saliva, and there have been no recurrences or fistulae. This procedure is technically simple to do, and it is associated with less morbidity than surgical relocation of the parotid ducts.
Assuntos
Glândula Parótida/cirurgia , Sialorreia/cirurgia , Glândula Submandibular/cirurgia , Adolescente , Paralisia Cerebral/complicações , Criança , Feminino , Seguimentos , Humanos , Deficiência Intelectual/complicações , Ligadura , Masculino , Métodos , Sialorreia/etiologiaRESUMO
An outbreak of infections due to Mycobacterium fortuitum associated with electromyography (EMG) is described. During a 6-week period, six patients who received EMG at one facility developed soft-tissue infections manifested by slowly expanding suppurative nodules at sites of needle electrode insertion. M. fortuitum was isolated from five patients; four isolates that were evaluated further were M. fortuitum biovariant fortuitum. EMG procedures were done in one laboratory by one physician and assistant. Standard procedures included use of reusable needle electrodes disinfected with 2% glutaraldehyde and then rinsed with tap water. On recognition of the outbreak, the procedure was changed to include autoclaving of needle electrodes. Active surveillance for 1 year revealed no further cases. M. fortuitum could not be isolated from the laboratory, EMG equipment and reagents, or skin of the medical personnel. The outbreak demonstrates that nontuberculous mycobacterial infection may be associated with EMG.