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Management of Sialoceles Using an Indigenous Salivary Stent
Tulasi Nayak1, Gowrishankar1, Shreya Krishna1
1Department of Oral and Maxillofacial Surgery, Rangadore Memorial Hospital, Bengaluru, India.
Journal of Maxillofacial and Oral Surgery
|February 5, 2024
Summary
A novel technique effectively treats postoperative sialoceles, which are saliva collections after surgery. This simple method uses a tapered stent for decompression, promoting natural healing and resolving the condition.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Salivary Gland Disorders
Background:
- Sialoceles are subcutaneous saliva collections resulting from salivary gland duct or parenchyma disruption.
- These occur post-trauma or after head and neck surgeries.
- Current treatment lacks a universal consensus.
Purpose of the Study:
- To present a simple, effective technique for managing postoperative sialoceles.
- To demonstrate the successful application of this novel method in a patient cohort.
Main Methods:
- An indigenously designed tapered stent was utilized for sialocele decompression.
- The stent facilitates natural healing and fibrosis over 4-6 days.
- The procedure is designed for outpatient management under local anesthesia.
Main Results:
- The described technique successfully treated 11 patients with postoperative sialoceles.
- The method achieved resolution of sialoceles in all treated patients.
Conclusions:
- The presented technique offers a simple and easily performable solution for postoperative sialoceles.
- Management in an outpatient setting with local anesthesia and minimal equipment is feasible.
