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Revista argentina de radiología
versão On-line ISSN 1852-9992
Resumo
RODRIGUEZ DELGADO, Juan Carlos; TOLEDO MATAMOROS, Pedro; VALLE OCHOA, Carlos e HINOSTROZA DUENAS, Marjorie. Conservative management of post-traumatic parotid salivary pseudocyst: A case report. Rev. argent. radiol. [online]. 2011, vol.75, n.4, pp.319-324. ISSN 1852-9992.
Given the complex anatomy of the mouth, injuries occurring in this region can result in multiple complications. The facial nerve and parotid duct can be easily injured by blows or trauma penetrating the cheek. Parotid duct injury is generally overlooked, especially in settings of multiple injuries. Consequently, they are rarely reported in the literature. The treatment of these injuries is very controversial. Short series and anecdotal case studies claim success with various approaches, such as non-surgical treatment, proximal duct glide with or without antisialogogue medication, primary repair with microsurgery, the creation of the fistula sialoplasty using oral mucosa and vein graft replacement. We present a conservative approach devised by the authors, with the aim of draining and maintaining Stenon's duct functional in a male patient who presented right salivary pseudocyst, as a complication from a tear of the distal part of the duct, following maxillofacial trauma caused by a car accident.
Palavras-chave : Parotid duct; Avulsion injuries; Salivary pseudocyst.