title: An unusual complication following rhytidectomy: iatrogenic parotid injury resulting in parotid fistula/sialocele.
abstract: Rhytidectomy is a common surgical procedure performed by today's aesthetic surgeons. Newer trends and techniques leading to deeper and more aggressive dissection have placed the parotid gland at increased risk for injury during this procedure. Despite there being a relative abundance of literature on traumatic parotid injury, there is a relative paucity of information on iatrogenic parotid injury after rhytidectomy. In addition, there is no consensus on management of these complications. In this article, the authors discuss 3 case reports, review the relevant literature, and propose a treatment algorithm. Early diagnosis and appropriate treatment are essential to properly manage this complication.
authors.affiliation: Forsyth Plastic Surgery, Winston-Salem, North Carolina 27103, USA. drlawson@forsythplasticsurgery.com
authors.forename: George A
authors.initials: GA
authors.lastname: Lawson
authors.forename: Peter
authors.initials: P
authors.lastname: Kreymerman
authors.forename: Peter
authors.initials: P
authors.lastname: Kreyerman
authors.forename: Foad
authors.initials: F
authors.lastname: Nahai
mesh_terms: D000368:Aged; D000465:Algorithms; D003560:Cysts / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D010305:Parotid Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D010306:Parotid Gland / Q000293:injuries*; D015361:Rhytidoplasty / Q000009:adverse effects* / Q000379:methods; D012467:Salivary Gland Fistula / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy