title: Dynamic Scintigraphy With SPECT-CT of Postoperative Salivary Leak.
abstract: This 65 year-old woman, 1 month postoperative after maxillary sinus carcinoma (pT4N0cM0) excision and reconstruction, presented with significant left facial clear fluid wound leakage. A salivary or cerebrospinal leakage was suspected. Fluid analysis, CT, and MRI were noncontributory. Dynamic salivary scintigraphy with SPECT-CT allowed for the detection and localization of the leakage from the left parotid gland. Radioactive dose rate of the wound bandage was 50 μSv/h compared with 0.05 μSv/h for background and confirmed the diagnosis. Left total parotidectomy resulted in resolution.
authors: From the *Department of Nuclear Medicine E4, CHU Brugmann Hospital, Brussels, Belgium; †Department of Otorhinolaryngology, CHU Brugmann Hospital, Brussels, Belgium; and ‡Department of Radiotherapy, Medical Physics, UZ Brussel, Brussel, Belgium.
authors: Kathleen
authors: K
authors: Weyts
authors: Linda
authors: L
authors: Spinato
authors: Pierre
authors: P
authors: Bisschop
authors: Cyril
authors: C
authors: Jaudet
authors: Anne Sophie
authors: AS
authors: Hambÿe
mesh_terms: D002277:Carcinoma / Q000601:surgery; D005260:Female; D006801:Humans; D008441:Maxillary Neoplasms / Q000601:surgery; D008875:Middle Aged; D010306:Parotid Gland / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D012469:Salivary Glands / Q000000981:diagnostic imaging*; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed