title: Fistulectomy of the parotid fistula secondary to suppurative parotitis: a case report.
abstract: A parotid fistula is a communication between the skin and a parotid duct or gland through which saliva is discharged. The most common cause of the parotid fistula is trauma. The major causes of parotid trauma in a civilian practice are penetrating injury to the parotid gland from an assault weapon or injury due to shattered glass after a motor vehicle accident. Acute suppurative parotitis can rarely produce a parotid fistula, and it will be difficult to manage successfully. In this article we have described diagnosis by fistulography, meticulous dissection, and complete excision of the fistulous tract with layered closure of the parotid fascia followed by application of a post-operative pressure bandage, use of anticholinergic agents and antibiotics contribute significantly to the successful management of this difficult clinical condition.
authors.affiliation: Professor and Head, Vice Principal, Department of Oral and Maxillofacial Surgery, Narsinbhai Patel Dental College and Hospital, Visnagar, Gujarat, India.
authors.forename: Anil
authors.initials: A
authors.lastname: Managutti
authors.affiliation: Senior Lecturer, Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.
authors.forename: Saba
authors.initials: S
authors.lastname: Tiwari
authors.affiliation: Reader, Department of Oral and Maxillofacial Surgery, Modern Dental College and Research Centre, Indore, Madhya Pradesh, India.
authors.forename: Michael
authors.initials: M
authors.lastname: Prakasam
authors.affiliation: Reader, Department of Prosthodontics, ACPM Dental College, Dhule, Maharashtra, India.
authors.forename: Nagaraj
authors.initials: N
authors.lastname: Puthanakar
keywords: Fistulography; parotid fistula; suppurative parotitis