Treatment of Parotid Fistula with Type A Botulinum Toxin: A Case Report
Journal of the Korean Cleft Palate-Craniofacial Association
; : 129-131, 2011.
Article
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| WPRIM
| ID: wpr-58322
Responsible library:
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.Key words
全文:
1
索引:
WPRIM
主要主题:
Parotid Gland
/
Recurrence
/
Botulinum Toxins
/
Cheek
/
Follow-Up Studies
/
Botulinum Toxins, Type A
/
Eating
/
Fistula
/
Amylases
研究类型:
Observational_studies
/
Prognostic_studies
限制:
Aged
/
Female
/
Humans
语言:
En
期刊:
Journal of the Korean Cleft Palate-Craniofacial Association
年:
2011
类型:
Article