ABSTRACT
Facial wounds are frequently associated with bone fractures and multiple trauma; however,
disruption of the parotid gland or Stensen's duct is rare and is often associated
with facial nerve palsy. Lesions are often undiagnosed on first assessment of the
multiple trauma patient. If microsurgical repair of Stensen's duct provides good fuctional
results, ignoring such lesions often leads to later complications such as fistulae
and sialocoeles. Although simple ligation of Stensen's duct has been reported to give
satisfactory results, the authors prefer a more anatomic reconstruction of this structure
whenever possible. A case of Stensen's duct microsurgical repair using a vein graft
are reported.