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Stensen duct relocation after cheek mucosa tumor resection
Benedetto Longo1, Silvia Germano, Rosaria Laporta
1Plastic Surgery Unit, Sant'Andrea Hospital, School of Medicine and Psychology, Sapienza University of Rome, Rome, Italy.
The Journal of Craniofacial Surgery
|May 26, 2012
Summary
Preserving Stensen duct function during cheek cancer surgery is crucial. A simple relocation technique successfully maintained salivary flow, preventing complications and aiding oncologic follow-up.
Area of Science:
- Oncology
- Surgical Innovation
- Salivary Gland Surgery
Background:
- Cheek mucosa cancer resection may involve Stensen meatus, necessitating duct preservation.
- Sialodochoplasty is vital to prevent strictures, swelling, and obstructive issues complicating cancer follow-up.
Observation:
- A novel technique for parotid duct cannulation and relocation was applied.
- This was performed in a 77-year-old female patient undergoing cheek mucosa tumor resection and forearm reconstruction.
Findings:
- Post-surgery, clear saliva egress from the duct orifice was confirmed at 6 weeks.
- The procedure successfully avoided fistula formation and cheek swelling.
Implications:
- Stensen duct relocation is a valuable adjunct in oral cancer treatment.
- This technique preserves salivary gland function without compromising oncologic resection outcomes.
