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    Botulinum toxin type b for the treatment of a sialocele after parotidectomy.

    Head Neck 2013 Jan 17;35(1):E11-2. Epub 2011 Jun 17.
    Department of Otorhinolaryngology, University Hospital, Friedrich-Schiller University Jena, Jena, Germany.
    Background: A 41-year-old male patient developed a sialocele after partial parotidectomy for a parotid pleomorphic adenoma. The sialocele was effectively treated by a single injection with botulinum toxin type B combined with multiple needle aspirations.

    Methods: Ultrasound-guided infiltration of 2500 mouse-units of botulinum toxin type B in the residual parotid gland tissue under local anesthesia. Repeated needle aspirations were performed before and after the infiltration.

    Results: Ten days after the injection, the patient was free of any discomfort.

    Conclusion: Botulinum toxin type B is effective in the management of postoperative sialocele after parotid gland surgery.
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