외상성 타액종류

• 영문명: Sialocele : report of a case and review of literture
• 발행기관: 대한구강악안면외과학회
• 저자명: 김종렬(Jong Ryoul Kim) 권우철(Woo Cheol Kwon) 곽병학(Byung Hak Kwak)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제20권 제2호, 255~262쪽, 전체 8쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 1994.04.30

영문 초록

When parotid duct or gland is lacerated and functional primary repair is not accomplished, three potential complications can occur : sialocele, extraoral salivary fistula and salivary cyst. Sialocele is subcutaneous cavity of saliva which is extravasated from traumatized duct or gland. When the primary injury causing the sialocele is an injured duct, three basic methods of treatment are possible. Basically, the salivary flow must be directed intraorally as extraoral pressure is applied to the region of subcutaneous saliva extravasation, preventing an extraoral fistula. Concomitant daily aspirations of the sialocele may be required. If a sialocele occurs, one should fist attempt the insertion of a catheter via Stensen s duct into the region of the sialocele to direct drainage intraorally, aspirate the sialocele as necessary, and apply an external pressure dressing. If this fails, reexploration and anastomosis of the duct should be attempted. If anastomosis of the duct proves impossible, the proximal duct should be ligated with several silk sutures. The following case illustrates the effective treatment of sialocele by these methods. A 50-year-old man was sent to our department for evaluation of right preauricular swelling. He had deep facial laceration after automobile accident. One week after primary closure, 3.0cm×3.0cm×2.0cm-sized flucturant mass developed. At aspiration, clear yellowish serous water was seen. Sialogram showed accumulation of contrast media at right parotid gland and remnant of contrast media at excretory duct which represents pocket formation. We attempted duct exploation and excision of sialocele. A pressure elastic bandage was applied for 15 days after operation. He had no further complication nor recur after that treatment.

목차

Abstract

I. 서론

II. 증례보고

III. 고안

참고문헌