Journals / The Turkish Journal of Ear Nose and Throat / 2026 / Volume: 10 Issue: 2

Successful use of botulinum toxin injection in the treatment of salivary fistula following parotidectomy

Parotidektomi sonrası gelişen tükürük fistülünün botulinum toksini ile iyileşmesi

Pages
—
Publication Date
2003-04-10
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No side effects were observed and the patient remained symptom-free during four-month follow-up.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A twenty-year-old woman undervvent right superficial parotidectomy tor pleomorphic adenoma.
📊
Key Findings & Data:On the 10th postoperative day she presented with a salivary fistu­ la, tor which repeated aspirations with pressure dressings were applied tor a month.
💡
Conclusion & Impact:No side effects were observed and the patient remained symptom-free during four-month follow-up.
🔬Design:Article
📍Scope:Comprehensive Sample
⚙️Variables:Botulinum toxin type a/therapeutic use/administration & dosage · parotid diseases/therapy · parotid gland/ surgery

Abstract

A twenty-year-old woman undervvent right superficial parotidectomy tor pleomorphic adenoma. On the 10th postoperative day she presented with a salivary fistu­ la, tor which repeated aspirations with pressure dressings were applied tor a month. Despite decreases in the salivary fluid volüme, reaccumulation persisted. Following aspiration of the salivary fluid, 40 units of botulinum toxin was injected into the pouch.On the second day of injection, the discharge ceased and the pouch disappeared. No side effects were observed and the patient remained symptom-free during four-month follow-up.

Özet

Yirmi yaflındaki kadın hastaya pleomofik adenom nedeniyle sağ süperfisyel parotidektomi yapıldı. Ameliyat sonrası 10. günde hastada tükürük fistülü geliflmesi üzerine bir ay süreyle düzenli aspirasyon ve baskılı pansuman uygulandı. Miktarının azalma- sına karflın, tükürük birikimi sürdü. Parotis bölgesindeki birikim aspire edildikten sonra, 40 ünite botuli- num toksini pofl içine uygulandı. Enjeksiyondan sonra ikinci günde birikim durdu; tükürük biriken poflun kaybolduğu görüldü. Hastada herhangi bir yan etki gözlenmedi. Dört aylık izlem sırasında da herhangi bir sorunla karflılaflılmadı

🔖

Cite This Article

Kızılay, A., Aladağ, İ., Özturan, O. (2003). Successful use of botulinum toxin injection in the treatment of salivary fistula following parotidectomy. The Turkish Journal of Ear Nose and Throat, Volume: 10 Issue: 2. https://ajindex.com/articles/1330197

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (10)

  1. Wax M, Tarshis L. Post-parotidectomy fistula. J Otolaryngol 1991;20:10-3.
  2. Kaya S. Tükrük bezi hastalıkları. Ankara: Günefl Kitabevi; 1997.
  3. Vargas H, Galati LT, Parnes SM. A pilot study evaluat- ing the treatment of postparotidectomy sialoceles with botulinum toxin type A. Arch Otolaryngol Head Neck Surg 2000;126:421-4.
  4. M a rchese-Ragona R, De Filippis C, Staffieri A, Restivo DA, Restino DA. Parotid gland fistula: t re a tment with botulinum toxin. Plast Reconstr Surg 2001; 1 0 7: 8 8 6 - 7.
  5. Munchau A, Bhatia KP. Uses of botulinum toxin injec- tion in medicine today. BMJ 2000;320:161-5.
  6. Blitzer A, Sulica L. Botulinum toxin: basic science and clinical uses in otolaryngology. Laryngoscope 2001; 111:218-26.
  7. Dursun G, Ertürk A. Spazmodik disfoninin tedavisinde botulinum toksini uygulaması. Türkiye Klinikleri KBB 2001;1:129-33.
  8. Dulguerov P, Quinodoz D, Cosendai G, Piletta P, Lehmann W. Frey syndrome treatment with botu- linum toxin. Otolaryngol Head Neck Surg 2000;122: 821-7.
  9. Laccourreye O, Akl E, Gutierrez-Fonseca R, Garcia D, Brasnu D, Bonan B. Recurrent gustatory sweating (Frey syndrome) after intracutaneous injection of bot- ulinum toxin type A: incidence, management, and out- come. Arch Otolaryngol Head Neck Surg 1999;125: 283-6.
  10. M a rchese-Ragona R, De Filippis C, Staffieri A, Restivo DA, Restino DA. Parotid gland fistula: t re a tment with botulinum toxin. Plast Reconstr Surg 2001; 1 0 7: 8 8 6 - 7.