title: Parotid duct relocation in buccal mucosa cancer resection.
abstract: Buccal mucosal cancer is commonly seen in India with patients presenting in advanced stages of the disease. Its excision commonly mandates division of parotid duct as a part of disease or its margin. We have adopted a simple method to salvage the parotid gland by cannulating the duct and rerouting the saliva into the oral cavity at a different site. This has now become a protocol at our center. A total of 562 patients from 2002 to 2012 have undergone this procedure. This has markedly reduced the incidence of sialocele and parotitis in early postoperative period, which may delay wound healing and subsequent radiotherapy.
authors.affiliation: From the Division of Reconstructive Surgery, Department of Surgical Oncology, Rajiv Gandhi Cancer Institute and Research Centre, Rohini, Delhi, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Mehta
authors.forename: Juhi
authors.initials: J
authors.lastname: Agrawal
authors.forename: Ajay K
authors.initials: AK
authors.lastname: Dewan
authors.forename: Tapaswini
authors.initials: T
authors.lastname: Pradhan
mesh_terms: D000368:Aged; D002404:Catheterization / Q000295:instrumentation / Q000379:methods; D002610:Cheek / Q000601:surgery*; D003560:Cysts / Q000517:prevention & control; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009061:Mouth Mucosa / Q000601:surgery; D009062:Mouth Neoplasms / Q000601:surgery*; D010305:Parotid Diseases / Q000517:prevention & control; D010306:Parotid Gland / Q000378:metabolism / Q000601:surgery*; D010309:Parotitis / Q000517:prevention & control; D011183:Postoperative Complications / Q000517:prevention & control; D012463:Saliva / Q000378:metabolism; D018987:Salivary Ducts / Q000601:surgery*; D014945:Wound Healing / Q000502:physiology