Reconstruction of traumatic Stensen duct defect using a vein graft as a conduit: two case reports.
Treatment of Stensen duct defect is still controversial. The authors describe the successful use of a retrograde vein graft as a conduit for traumatic segmental Stensen duct defect reconstruction. One patient sustained facial trauma with severe duct crushing and severance, the other had multiple cutting injuries with segmental duct defect. However, primary repair was impossible. A retrograde vein graft harvested from forearm for Stensen duct defect reconstruction was performed using microsurgical technique. A silicon stent was retained for 8 weeks. The sialographic examination showed good functional results without stricture postoperatively. This could be an option for treating such a complicated defect.
Liang
Chi-Cheng
CC
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Jeng
Seng-Feng
SF
Yeh
Ming-Chung
MC
Liu
Yi-Tien
YT
Kuo
Yur-Ren
YR
D000328:Adult; D006259:Craniocerebral Trauma / Q000601:surgery*; D020220:Facial Nerve Injuries; D005158:Facial Paralysis / Q000209:etiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures; D014680:Veins / Q000637:transplantation*; D014950:Wounds, Penetrating / Q000601:surgery*