title: Sialoceles: medical treatment first.
abstract: There are numerous methods described in the literature for sialocele treatment. Surgical modalities usually involve an operation with possible facial nerve injury, with the risk of a general anesthetic, and with prolonged hospitalization to be considered. Among non-surgical modalities radiation and laissez-faire are of questionable efficacy. Propantheline bromide, which medically interrupts the parasympathetic control of salivary secretion, has proved a safe, effective means of rapid sialocele control.
mesh_terms: D000328:Adult; D003560:Cysts / Q000188:drug therapy* / Q000601:surgery; D004305:Dose-Response Relationship, Drug; D005151:Facial Injuries / Q000150:complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000000981:diagnostic imaging / Q000601:surgery; D010307:Parotid Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000188:drug therapy; D011413:Propantheline / Q000009:adverse effects / Q000627:therapeutic use*; D011859:Radiography; D012466:Salivary Gland Diseases / Q000188:drug therapy*; D012467:Salivary Gland Fistula / Q000000981:diagnostic imaging / Q000188:drug therapy; D013396:Suction; D014950:Wounds, Penetrating / Q000150:complications
chemical_list: D011413:Propantheline