Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting
Objective: The aim of this study was to evaluate the long-term results of a simultaneous application of botulinum toxin to the parotid gland in conjunction with the microsurgical repair of the duct in an acute setting and to encourage using botulinum toxin as a first-line option to prevent future co...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2017-12-01
|
| Series: | Turkish Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://turkjplastsurg.org/eng/makale/1074/83/Full-Text |
| _version_ | 1828032088897486848 |
|---|---|
| author | Mert Çalış Zeynep Öz Hakan Uzun Burçe Özgen Alp Çetin3 Ali Emre Aksu |
| author_facet | Mert Çalış Zeynep Öz Hakan Uzun Burçe Özgen Alp Çetin3 Ali Emre Aksu |
| author_sort | Mert Çalış |
| collection | DOAJ |
| description | Objective: The aim of this study was to evaluate the long-term results of a simultaneous application of botulinum toxin to the parotid gland in conjunction with the microsurgical repair of the duct in an acute setting and to encourage using botulinum toxin as a first-line option to prevent future complications associated with glandular involvement.
Material and Methods: Three patients who were referred to the Plastic Surgery Clinic by the emergency room of the Hacettepe University Hospital after maxillofacial trauma are reviewed in this study. Exploration of the facial nerve and Stensen’s duct was planned for all patients within the first 72 hours after their injuries. After intraoral catheterization of the Stensen’s duct through the papilla using an epidural catheter, microsurgical end-to-end anastomosis was performed. Concurrently, 100 units of botulinum toxin A was injected at standardized eight points to the parotid gland.
Results: Postoperative magnetic resonance (MR) sialography revealed patency in all patients at the end of postoperative first year. The mean postoperative parotid volume of the injured and non-injured sides were 19.82±10.55 cm3 and 17.79±10.98 cm3, respectively, and the results were found to be comparable. Fibrillation potentials in the postoperative electromyography recordings and clinical examination demonstrated nerve regeneration.
Conclusion: Botulinum toxin A appears to be effective in treating duct injuries accompanied by glandular involvement in an acute setting, as well as in preventing long-term complications. |
| first_indexed | 2024-04-10T15:00:18Z |
| format | Article |
| id | doaj.art-d00c30f5ddb44983bd3b23fd5c331894 |
| institution | Directory Open Access Journal |
| issn | 2528-8644 |
| language | English |
| last_indexed | 2024-04-10T15:00:18Z |
| publishDate | 2017-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Plastic Surgery |
| spelling | doaj.art-d00c30f5ddb44983bd3b23fd5c3318942023-02-15T16:07:08ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442017-12-0125418318710.5152/TurkJPlastSurg.2017.2305Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute SettingMert Çalış0Zeynep Öz1Hakan Uzun2Burçe Özgen3Alp Çetin34Ali Emre Aksu5Department of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University School of Medicine, Ankara, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University School of Medicine, Ankara, TurkeyDepartment of Plastic Reconstructive and Aesthetic Surgery, Hacettepe University School of Medicine, Ankara, TurkeyDepartment of Radiology, Hacettepe University School of Medicine, Ankara, TurkeyDepartment of Physical Medicine and Rehabilitation, Hacettepe University School of Medicine, Ankara, TurkeyDepartment of Physical Medicine and Rehabilitation, Hacettepe University School of Medicine, Ankara, TurkeyObjective: The aim of this study was to evaluate the long-term results of a simultaneous application of botulinum toxin to the parotid gland in conjunction with the microsurgical repair of the duct in an acute setting and to encourage using botulinum toxin as a first-line option to prevent future complications associated with glandular involvement. Material and Methods: Three patients who were referred to the Plastic Surgery Clinic by the emergency room of the Hacettepe University Hospital after maxillofacial trauma are reviewed in this study. Exploration of the facial nerve and Stensen’s duct was planned for all patients within the first 72 hours after their injuries. After intraoral catheterization of the Stensen’s duct through the papilla using an epidural catheter, microsurgical end-to-end anastomosis was performed. Concurrently, 100 units of botulinum toxin A was injected at standardized eight points to the parotid gland. Results: Postoperative magnetic resonance (MR) sialography revealed patency in all patients at the end of postoperative first year. The mean postoperative parotid volume of the injured and non-injured sides were 19.82±10.55 cm3 and 17.79±10.98 cm3, respectively, and the results were found to be comparable. Fibrillation potentials in the postoperative electromyography recordings and clinical examination demonstrated nerve regeneration. Conclusion: Botulinum toxin A appears to be effective in treating duct injuries accompanied by glandular involvement in an acute setting, as well as in preventing long-term complications.http://turkjplastsurg.org/eng/makale/1074/83/Full-TextBotulinum toxinStensen’s ductparotid gland injuriesacute setting |
| spellingShingle | Mert Çalış Zeynep Öz Hakan Uzun Burçe Özgen Alp Çetin3 Ali Emre Aksu Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting Turkish Journal of Plastic Surgery Botulinum toxin Stensen’s duct parotid gland injuries acute setting |
| title | Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting |
| title_full | Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting |
| title_fullStr | Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting |
| title_full_unstemmed | Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting |
| title_short | Alternative Approach to Traumatic Stensen’s Duct Injuries Accompanied by Glandular Involvement: Botulinum Toxin Injection to the Gland in Conjunction with Microsurgical Repair of the Duct in an Acute Setting |
| title_sort | alternative approach to traumatic stensen s duct injuries accompanied by glandular involvement botulinum toxin injection to the gland in conjunction with microsurgical repair of the duct in an acute setting |
| topic | Botulinum toxin Stensen’s duct parotid gland injuries acute setting |
| url | http://turkjplastsurg.org/eng/makale/1074/83/Full-Text |
| work_keys_str_mv | AT mertcalıs alternativeapproachtotraumaticstensensductinjuriesaccompaniedbyglandularinvolvementbotulinumtoxininjectiontotheglandinconjunctionwithmicrosurgicalrepairoftheductinanacutesetting AT zeynepoz alternativeapproachtotraumaticstensensductinjuriesaccompaniedbyglandularinvolvementbotulinumtoxininjectiontotheglandinconjunctionwithmicrosurgicalrepairoftheductinanacutesetting AT hakanuzun alternativeapproachtotraumaticstensensductinjuriesaccompaniedbyglandularinvolvementbotulinumtoxininjectiontotheglandinconjunctionwithmicrosurgicalrepairoftheductinanacutesetting AT burceozgen alternativeapproachtotraumaticstensensductinjuriesaccompaniedbyglandularinvolvementbotulinumtoxininjectiontotheglandinconjunctionwithmicrosurgicalrepairoftheductinanacutesetting AT alpcetin3 alternativeapproachtotraumaticstensensductinjuriesaccompaniedbyglandularinvolvementbotulinumtoxininjectiontotheglandinconjunctionwithmicrosurgicalrepairoftheductinanacutesetting AT aliemreaksu alternativeapproachtotraumaticstensensductinjuriesaccompaniedbyglandularinvolvementbotulinumtoxininjectiontotheglandinconjunctionwithmicrosurgicalrepairoftheductinanacutesetting |