RESUMO
On the basis of 15 cases, the authors define their attitude to traumatic lesions of the parotid salivary system. In the first place, such lesions must be accurately diagnosed by careful examination and catheterisation of the papilla. This simple manoeuvre makes it possible to avoid emergency sialography. Secondly, treatment varies according to the type of lesion: with a lesion of the facial nerve, suture or nerve graft in the case of loss of substance; with a minimal parenchymatous lesion, observation is necessary after the avoidance of surgery or drainage; with a severe parenchymatous lesion, parotidectomy is necessary, with exploration of the facial nerve.
Assuntos
Glândula Parótida/lesões , Adolescente , Adulto , Cateterismo , Criança , Pré-Escolar , Drenagem , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Glândula Parótida/patologia , Glândula Parótida/cirurgiaRESUMO
Mountain sports were the cause of 400 facial injuries treated in he Maxillo-facial Surgical Unit in Grenoble over a period of 5 years. Deltaplane injuries are becoming more frequent. Isolated facial injuries represent 57 p. cent of the cases treated. The various types of lesions encountered are described, and the distinction drawn between those treated as emergencies, and those for which urgent treatment could be delayed.