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

Authors:
Mira Pantel
Mira Pantel
University Hospital
Gerd Fabian Volk
Gerd Fabian Volk
Jena University Hospital
Germany
Orlando Guntinas-Lichius
Orlando Guntinas-Lichius
Jena University Hospital
Germany
Claus Wittekindt
Claus Wittekindt
University Hospital Giessen and Marburg

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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January 2013
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References

(Supplied by CrossRef)
Use of botulinum toxin type A in a case of persistent parotid sialocele
Chow et al.
Hong Kong Med J 2003
Expanding use of botulinum toxin
Bhidayasiri et al.
J Neurol Sci 2005

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