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Giant sialocele following facial trauma

2012; Fundação Odontológica de Ribeirão Preto; Volume: 23; Issue: 1 Linguagem: Inglês

10.1590/s0103-64402012000100015

1806-4760

Rui Medeiros Júnior, Alípio Miguel da Rocha Neto, Isaac Vieira Queiroz, Antônio de Figueiredo Cauby, Luiz Alcino Gueiros, Jair Carneiro Leão,

Head and Neck Surgical Oncology

Injuries in the parotid and masseter region can cause serious impairment secondary to damage of important anatomical structures. Sialocele is observed as facial swelling associated with parotid duct rupture due to trauma. The aim of this paper is to report a case of a giant traumatic sialocele in the parotid gland, secondary to a knife lesion in a 40-year-old woman. Conservative measures could not promote clinical resolution and a surgical intervention for the placement of a vacuum drain was selected. Under local anesthesia, a small incision was performed adjacent to parotid duct papilla, followed by muscular divulsion and draining of significant amount of saliva. An active vacuum suction drain was placed for 15 days, aiming to form a new salivary duct. This technique was shown to be a safe, effective and low-cost option, leading to complete resolution and no recurrence after 28 months of follow up.