title: Treatment of postparotidectomy fistulae with fibrin glue.
abstract: Although fistulae resulting from superficial parotidectomy represent a serious problem, there is still little consensus on the optimal treatment. Some suggest management by applying dressings, while others advise surgery. In recent years several other strategies have been proposed. In this manuscript, we present two cases of postparotidectomy fistulae treated by injection with fibrin tissue glue (Tissucol Duo 500, Baxter AG, Vienna, Austria). Furthermore, a review of the literature is presented. In both patients the fistulae completely healed within months without complications. A literature search revealed that this is the first time postparotidectomy fistulae were treated this way. We conclude that postparotidectomy fistulae can be effectively treated with fibrin glue. Moreover, this treatment is simple, safe and has no side effects.
authors.affiliation: Department of Surgery, Rijnland Hospital, Leiderdorp, Netherlands. s.zwaveling@rijnland.nl
authors.forename: Sander
authors.initials: S
authors.lastname: Zwaveling
authors.forename: Pascal
authors.initials: P
authors.lastname: Steenvoorde
authors.forename: Stephen Andrew
authors.initials: SA
authors.lastname: da Costa
mesh_terms: D000368:Aged; D005260:Female; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010305:Parotid Diseases / Q000209:etiology / Q000628:therapy*; D010306:Parotid Gland / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*; D012467:Salivary Gland Fistula / Q000209:etiology / Q000628:therapy*; D014014:Tissue Adhesives / Q000627:therapeutic use*
chemical_list: D015718:Fibrin Tissue Adhesive; D014014:Tissue Adhesives