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.