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They are a relatively common complication following surgery to the salivary glands, [4] commonly parotidectomy (removal of the parotid gland). [5] In this case the sialocele is the result of saliva draining out of remaining parotid tissue, and occurs about 5 to 10% of cases of superficial (partial) parotidectomy. [5] [6]
A parotidectomy is the surgical excision (removal) of the parotid gland, the major and largest of the salivary glands.The procedure is most typically performed due to neoplasms [1] (tumors), which are growths of rapidly and abnormally dividing cells.
Treatment of individual infections may prevent injury to the gland parenchyma. In the past, the disease was treated with aggressive surgical interventions such as Stensen’s duct ligation, superficial or total parotidectomy, and tympanic neurectomy. Nowadays, the disease is managed with sialendoscopic procedure.
Surgical techniques in parotid surgery have evolved in the last years with the use of neuromonitoring of the facial nerve and have become safer and less invasive. [19] After surgical removal of the parotid gland (parotidectomy), the auriculotemporal nerve is liable to damage and upon recovery it fuses with sweat glands. This can cause sweating ...
Rarely, Frey's syndrome can result from causes other than surgery, including accidental trauma, local infections, sympathetic dysfunction, and pathologic lesions within the parotid gland. [4] An example of such rare trauma or localized infection can be seen in situations where a hair follicle has become ingrown and is causing trauma or ...
After a parotidectomy, the nerves from the Auriculotemporal Nerve that previously innervated the parotid gland can reattach to the sweat glands in the same region. The result is sweating along the cheek with the consumption of foods (Frey's syndrome). Treatment involves the application of an antiperspirant or glycopyrrolate to the cheek ...
The second leading cause of salivary obstruction is from strictures and adhesions, which can happen from prior salivary gland infections, including childhood infections like mumps. Most strictures could be seen in the parotid duct and mostly in the disease process of chronic recurrent sialadenitis.
Otology also includes surgical treatment of conductive hearing loss, such as stapedectomy surgery for otosclerosis. Neurotology (a related field of medicine and subspecialty of otolaryngology) is the study of diseases of the inner ear, which can lead to hearing