Table 5. Various treatment objectives for post traumatic sialocele or salivary fistula
A useful adjunct to reduce salivary flow. More effective in injury involving glandular portion of parotid gland
It induces fibrosis of gland parenchyma and lead to atrophy of the gland. Approximately 1800 rads is required to cause atrophy and it starts 6 weeks following radiation therapy with possibility of radiation induced malignancy.
Transtympanic sectioning of the Jacobson’s nerve. high failure rate in ductal injury. Glandular atrophy may take as long as 6 months to occur.
Increased morbidity due to scaring, fibrosis and granulation tissues caused by previous injury. 75% patients experienced facial palsy when underwent parotid surgery for post traumatic sialocele or fistula.
Table 6. Management of Parotid Sialoceles and Fistulae: A Classification of Reported Methods in the Literature: