耳下腺外唾液瘻ならびに唾液嚢腫に対する圧迫療法の臨床的検討

概要

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Although persistent parotid salivary fistulas and sialoceles are relatively rare surgical entities, patients with these diseases are considerably suffered from facial deformity or massive outpouring of saliva in general. Many therapeutic methods ranging from conservative treatment to more radical surgical intervention have been used for treating these diseases. In this paper, the therapeutic effect of pressure dressing, one of these measures, was examined in 7 cases of parotid salivary fistula or sialocele. Pressure dressing was performed using a sponge and elastic mesh or elastic bandage. This simple procedure resulted in closure of fistula or disappearance of sialocele in all cases. In the case of lacerated parotid duct, however, the parotid function was degenerated, suggesting that the gland underwent atrophy.<BR>It seemed that pressure dressing is suitable for such cases as having lacerated parotid gland or those in whom the parotid function is impossible to maintain. In addition, this more easy and safe pressure dressing is considered to be a measure of first choice for intending functional cessation of the parotid gland, although other treatments including removal of the auriculotemporal nerve or radiation are also applicable.
社団法人日本口腔外科学会の論文