A novel technique in the treatment of post traumatic parotid duct sialocele


  • Atishkumar B. Gujrathi Department of ENT, Dr. S.C. Government Medical College, Nanded, Maharashtra http://orcid.org/0000-0002-2733-8234
  • Vijayalaxmi Ambulgekar Department of ENT, Dr. S.C. Government Medical College, Nanded, Maharashtra




Epidural catheter, Parotid duct, Salivary fistula, Sialocele


Stenson's duct of parotid gland is a major duct which drains saliva into the oral cavity. Deep penetrating wound in the form of cut or crush injury to the buccal area carries the risk of parotid duct injury. It is in the form of ductal exposure, laceration, total severing, or crushing of the duct. These conditions are difficult to diagnose because of complex anatomy and variable nature of injury. Successful management of parotid duct injury depends on early diagnosis and appropriate intervention, failing of which may lead to complications like sialocele or salivary fistula. Many techniques have been proposed for diagnosis and management of parotid duct injuries. This article presents an easy and an innovative technique to diagnose and manage the parotid duct injuries using an "epidural catheter" which is often used for inducing spinal anesthesia. The technique of epidural catheter usage, its advantages, and limitation over other techniques proposed for the management of parotid duct injury are discussed. 


Gehrking E, Remmert S, Meyer S, Krappen S. Microsurgical reanastomosis of the parotid duct. HNO. 1999;47:283-6.

Lewis G, Knottenbelt JD. Parotid duct injury: Is immediate surgical repair necessary? Injury. 1991;22:407-9.

Srinidhi D, Singh M, Rangaswamy S, Choudry S. Parotid sialocele and fistulae: Current treatment options. Int J Contemp Dent. 2011;2:9-12.

Steinberg MJ, Herréra AF. Management of parotid duct injuries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;99:136-41.

Kretlow JD, McKnight AJ, Izaddoost SA. Facial soft tissue trauma. Semin Plast Surg. 2010;24:348-56.

White JE. Primary repair of parotid duct injuries. J Natl Med Assoc. 1950;42:232- 4.

Sujeeth S, Dindawar S. Parotid duct repair using an epidural catheter. Int J Oral Maxillofac Surg. 2011;40:747-8.

Parekh D, Glezerson G, Stewart M, Esser J, Lawson HH. Post-traumatic parotid fistulae and sialoceles. A prospective study of conservative management in 51 Cases. Ann Surg. 1989;209:105-11.

Cant PJ, Campbell JA. Management of traumatic parotid sialoceles and fistulae: A prospective study. Aust N Z J Surg. 1991;61:742-3.

Marchese-Ragona R, De Filippis C, Marioni G, Staffieri A. Treatment of complications of parotid gland surgery. Acta Otorhinolaryngol Ital. 2005;25:174-8.

Karas ND. Surgery of the salivary ducts. Atlas Oral Maxillofac Surg Clin North Am. 1998;6:99-116.

Remick KN, Jackson TS. Trauma evaluation of the parotid duct in an austere military environment. Mil Med. 2010;175:539-40.

United States Patent, Multiple Hole Epidural Catheter, Inventor-Joseph Elder, Patent Number-5800407. Issue date: Sep 1, 1998.