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Trauma to the salivary glands
1Division of Otolaryngology-Head and Neck Surgery, University of Utah School of Medicine, University of Utah Health Sciences Center, Salt Lake City, Utah 84132, USA.
Otolaryngologic Clinics of North America
|September 9, 1999
Summary
Trauma to salivary glands can injure tissue, ducts, and the facial nerve. Management involves surgical and conservative options for both glandular/duct and nerve injuries, including electrical testing for neural assessment.
Area of Science:
- Otolaryngology
- Neurosurgery
- Trauma Surgery
Background:
- Salivary gland trauma, from penetrating or blunt mechanisms, poses risks to glandular tissue, ducts, and the facial nerve.
- Facial nerve involvement necessitates careful diagnostic and therapeutic considerations.
Purpose of the Study:
- To outline a management strategy for salivary gland and duct injuries.
- To detail therapeutic options for associated facial nerve injuries.
Main Methods:
- Review of current literature and clinical practices for salivary gland trauma.
- Discussion of surgical and conservative treatment modalities for glandular, ductal, and neural damage.
- Emphasis on diagnostic approaches and treatment algorithms.
Main Results:
- Glandular and ductal injuries require tailored management, balancing surgical intervention with conservative approaches.
- Facial nerve injuries present diverse treatment pathways, including surgical repair and non-operative management supported by electrodiagnostic testing.
Conclusions:
- A structured approach to salivary gland trauma is essential for optimizing outcomes.
- Comprehensive management, encompassing both glandular and neural components, improves patient prognosis.