[Successful use of botulinum toxin injection in the treatment of salivary fistula following parotidectomy].
A twenty-year-old woman underwent right superficial parotidectomy for pleomorphic adenoma. On the 10th postoperative day she presented with a salivary fistula, for which repeated aspirations with pressure dressings were applied for a month. Despite decreases in the salivary fluid volume, reaccumulation persisted. Following aspiration of the salivary fluid, 40 units of botulinum toxin was injected into the pouch. On the second day of injection, the discharge ceased and the pouch disappeared. No side effects were observed and the patient remained symptom-free during four-month follow-up.
Kizilay
Ahmet
A
Department of Otolaryngology, Medicine Faculty of Inönü University, 44300 Malatya, Turkey. akizilay@inonu.edu.tr
Aladağ
Ibrahim
I
Ozturan
Orhan
O
D008949:Adenoma, Pleomorphic / Q000601:surgery; D000328:Adult; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D001239:Inhalation; D010305:Parotid Diseases / Q000175:diagnosis / Q000628:therapy*; D010307:Parotid Neoplasms / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy*; D012467:Salivary Gland Fistula / Q000175:diagnosis / Q000628:therapy*
D019274:Botulinum Toxins, Type A
Parotidektomi sonrasi gelişen tükürük fistülünün botulinum toksini ile iyileşmesi.