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Reconstruction of parotid duct using autologous vein graft and venous coupler

Published:August 09, 2012DOI:https://doi.org/10.1016/j.bjoms.2012.07.011
      Resection of the parotid duct close to its orifice may be necessary during ablative surgery particularly for buccal carcinomas and malignant tumours in the buccal mucosa of the minor salivary glands. Management of the parotid gland after partial excision of the duct includes non-surgical conservative treatment,
      • Lewis G.
      • Knottenbelt J.D.
      Parotid duct injury: is immediate surgical repair necessary?.
      parotidectomy, or preservation of the remaining duct with microsurgical anastomosis
      • Hallock G.G.
      Microsurgical repair of the parotid duct.
      using autologous vein grafts.
      • Liang C.C.
      • Jeng S.F.
      • Yeh M.C.
      • Liu Y.T.
      • Kuo Y.R.
      Reconstruction of traumatic Stensen duct defect using a vein graft as a conduit: two case reports.
      Surgical repair of the duct avoids complications of a sialocele and salivary fistula,
      • Hendler B.H.
      • Quinn P.D.
      • Moon A.
      Primary repair of Stensen's duct after hemifacial transection: report of case.
      and autologous vein grafts have been successfully used to reconstruct the urethra, ureter, and Stensen's duct.
      • Ozgenel G.Y.
      • Ozcan M.
      Bilateral parotid-duct diversion using autologous vein grafts for the management of chronic drooling in cerebral palsy.
      We describe reconstruction of the parotid duct using an autologous vein graft anastomosed to the stump of the duct with a venous coupler after partial resection for a minor salivary gland tumour close to the orifice.

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      References

        • Lewis G.
        • Knottenbelt J.D.
        Parotid duct injury: is immediate surgical repair necessary?.
        Injury. 1991; 22: 407-409
        • Hallock G.G.
        Microsurgical repair of the parotid duct.
        Microsurgery. 1992; 13: 243-246
        • Liang C.C.
        • Jeng S.F.
        • Yeh M.C.
        • Liu Y.T.
        • Kuo Y.R.
        Reconstruction of traumatic Stensen duct defect using a vein graft as a conduit: two case reports.
        Ann Plast Surg. 2004; 52: 102-104
        • Hendler B.H.
        • Quinn P.D.
        • Moon A.
        Primary repair of Stensen's duct after hemifacial transection: report of case.
        J Oral Surg. 1981; 39: 687-689
        • Ozgenel G.Y.
        • Ozcan M.
        Bilateral parotid-duct diversion using autologous vein grafts for the management of chronic drooling in cerebral palsy.
        Br J Plast Surg. 2002; 55: 490-493