Facial Plast Surg 2015; 31(04): 376-381
DOI: 10.1055/s-0035-1563535
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Penetrating Trauma to the Parotid Gland

Matthias Tisch
1   Klinik für Hals-Nasen-Ohrenheilkunde, Kopf Halschirurgie, Bundeswehrkrankenhaus Ulm, Ulm, Germany
,
Susanne Maier
2   Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universität Ulm, Ulm, Germany
,
Heinz Maier
3   Privatpraxis HNO, Ulm, Areion Med GmbH, Neu-Ulm, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
15. September 2015 (online)

Abstract

Penetrating trauma to the parotid gland may present unique challenges especially when Stensen duct, neurovascular structures, and/or collateral organs are involved. Especially ballistic injuries caused by high-velocity projectiles or fragments of grenades and improvised explosive devices are often associated with massive tissue damage and a high risk of infections and other posttraumatic complications. Because penetrating parotid trauma is not very common, only limited information on the primary treatment of such injuries is available. This article gives a short overview about actual aspects on diagnosis and treatment strategies especially focusing on ballistic parotid injuries.

 
  • References

  • 1 Wade AL, Dye JL, Mohrle CR, Galarneau MR. Head, face, and neck injuries during Operation Iraqi Freedom II: results from the US Navy-Marine Corps Combat.
  • 2 Maier H, Tisch M, Lorenz KJ, Danz B, Schramm A. Penetrating injuries in the face and neck region. Diagnosis and treatment [in German]. HNO 2011; 59 (8) 765-782
  • 3 Majid OW. Gunshot injuries to the parotid gland: patterns of injury and primary management. Br J Oral Maxillofac Surg 2007; 45 (7) 571-572
  • 4 McLean JN, Moore CE, Yellin SA. Gunshot wounds to the face—acute management. Facial Plast Surg 2005; 21 (3) 191-198
  • 5 Youngs RP, Walsh-Waring GP. Trauma to the parotid region. J Laryngol Otol 1987; 101 (5) 475-479
  • 6 Morris LG, Miglietta MA, Sikora AG, Okun MN, Roland Jr JT. Emergency parotidectomy for penetrating zone III neck trauma. Arch Surg 2007; 142 (12) 1206-1208
  • 7 Qiu WW, Yin SS, Stucker FJ, Aarstad RF, Nguyen HH. Time course of Bell palsy. Arch Otolaryngol Head Neck Surg 1996; 122 (9) 967-972
  • 8 Karas ND. Surgery of the salivary ducts. Atlas Oral Maxillofacial Surg Clin N Am 1998; 6: 99-116
  • 9 Lewkowicz AA, Hasson O, Nahlieli O. Traumatic injuries to the parotid gland and duct. J Oral Maxillofac Surg 2002; 60 (6) 676-680
  • 10 Haller JR. Trauma to the salivary glands. Otolaryngol Clin North Am 1999; 32 (5) 907-918
  • 11 Van Sickels JE. Management of parotid gland and duct injuries. Oral Maxillofac Surg Clin North Am 2009; 21 (2) 243-246
  • 12 Remick KN, Jackson TS. Trauma evaluation of the parotid duct in an austere military environment. Mil Med 2010; 175 (7) 539-540
  • 13 Davis RE, Telischi FF. Traumatic facial nerve injuries: review of diagnosis and treatment. J Craniomaxillofac Trauma 1995; 1 (3) 30-41
  • 14 Doctor VS, Farwell DG. Gunshot wounds to the head and neck. Curr Opin Otolaryngol Head Neck Surg 2007; 15 (4) 213-218
  • 15 Stevenson JH. Parotid duct transsection associated with facial trauma. Br J Plast Surg 1983; 36: 81-82
  • 16 Arnaud S, Batifol D, Goudot P, Yachouh J. Nonsurgical management of traumatic injuries of the parotid gland and duct using type a botulinum toxin. Plast Reconstr Surg 2006; 117 (7) 2426-2430
  • 17 Breuer T, Ferrazzini A, Grossenbacher R. Botulinum toxin A as a treatment of traumatic salivary gland fistulas [in German]. HNO 2006; 54 (5) 385-390 , 392–393
  • 18 Van Sickels JE, Alexander JM. Parotid duct injuries. Oral Surg Oral Med Oral Pathol 1981; 52 (4) 364-367
  • 19 Gehrking E, Remmert S, Meyer S, Krappen S. Microsurgical reanastomosis of the parotid duct [in German]. HNO 1999; 47 (4) 283-286
  • 20 Hallock GG. Microsurgical repair of the parotid duct. Microsurgery 1992; 13 (5) 243-246
  • 21 Heymans O, Nélissen X, Médot M, Fissette J. Microsurgical repair of Stensen's duct using an interposition vein graft. J Reconstr Microsurg 1999; 15 (2) 105-107 , discussion 107–108
  • 22 Steinberg MJ, Herréra AF. Management of parotid duct injuries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2005; 99 (2) 136-141
  • 23 Tachmes L, Woloszyn T, Marini C , et al. Parotid gland and facial nerve trauma: a retrospective review. J Trauma 1990; 30 (11) 1395-1398
  • 24 Hauer T, Huschitt N, Kulla M, Kneubuehl B, Willy C. Bullet and shrapnel injuries in the face and neck regions. Current aspects of wound ballistics [in German]. HNO 2011; 59 (8) 752-764
  • 25 Edkins O, van Lierop AC, Fagan JJ, Lubbe DE. Peroral drainage of post-traumatic sialoceles: report of three cases. J Laryngol Otol 2009; 123: 922-924
  • 26 Watchmaker GP, Mackinnon SE. Nerve injury and repair. In: Peimer CA, , ed. Surgery of the Hand and Upper Extremity. New York: McGraw-Hill; 1996: 1251-1275
  • 27 Myckatin TM, Mackinnon SE. The surgical management of facial nerve injury. Clin Plast Surg 2003; 30 (2) 307-318
  • 28 Thoresby FP, Darlow HM. The mechanisms of primary infection of bullet wounds. Br J Surg 1967; 54 (5) 359-361
  • 29 Murray CK. Epidemiology of infections associated with combat-related injuries in Iraq and Afghanistan. J Trauma 2008; 64 (3 suppl): S232-S238
  • 30 Crecelius C. Soft tissue trauma. Atlas Oral Maxillofac Surg Clin North Am 2013; 21 (1) 49-60
  • 31 Gruss JS, Antonyshyn O, Phillips JH. Early definitive bone and soft-tissue reconstruction of major gunshot wounds of the face. Plast Reconstr Surg 1991; 87 (3) 436-450
  • 32 Vásconez HC, Shockley ME, Luce EA. High-energy gunshot wounds to the face. Ann Plast Surg 1996; 36 (1) 18-25
  • 33 Murray CK, Hsu JR, Solomkin JS , et al. Prevention and management of infections associated with combat-related extremity injuries. J Trauma 2008; 64 (3, Suppl): S239-S251
  • 34 Petersen K, Hayes DK, Blice JP, Hale RG. Prevention and management of infections associated with combat-related head and neck injuries. J Trauma 2008; 64 (3, Suppl): S265-S276
  • 35 Johnson JT, Kachman K, Wagner RL, Myers EN. Comparison of ampicillin/sulbactam versus clindamycin in the prevention of infection in patients undergoing head and neck surgery. Head Neck 1997; 19 (5) 367-371
  • 36 Scott P, Deye G, Srinivasan A , et al. An outbreak of multidrug-resistant Acinetobacter baumannii-calcoaceticus complex infection in the US military health care system associated with military operations in Iraq. Clin Infect Dis 2007; 44 (12) 1577-1584