علاج قيلة المخاط الفموية بوصفها قيلة لعابية رضية بعد إصابة قناة الغدة النكفية

References

DOI: 10.1016/j.otc.2021.03.002

• Superficial lesions present as soft and mobile swellings on the side of the injury, whereas deeper cysts may be difficult to palpate because of overlying tissues.
• Sialoceles typically present 8 to 14 days after parotid duct trauma.
• Fine-needle aspiration shows high salivary amylase concentration, typically more than 10,000 U/L.
• Acute salivary ductal injuries should be repaired when possible.
• Initial conservative management of traumatic sialoceles is preferred, especially in small and superficial duct injuries.
• Treatment of these collections has included pressure dressings, aspiration, delayed suction drains, medications to decrease saliva production, radiation, and botulinum toxin.
• Propantheline-bromide is an anticholinergic antisialogogue frequently used to inhibit parotid secretion through the healing phase, although unwanted anticholinergic side effects require monitoring.