salivary fistula
Introduction
Introduction Due to trauma or surgical injury, the sputum excretion caused by the parotid gland or parotid duct is called sputum. The clinical manifestation is that there is a small mouthwash on the facial skin. When there is clear saliva outflow, the main cause of the disease is damage, which occurs mostly in the parotid gland. And its catheter department, surgical treatment, and high cure rate. Debridement and suture after injury in the parotid gland is the key to prevent this disease. basic knowledge The proportion of illness: 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: suppurative mumps
Cause
Cause
1. There has been a history of severe contusion and trauma in the parotid area.
2. The depth of the parotid area or the cheek is deep in the history of cutting the knife.
3. The buccal, parotid, and temporomandibular joint surgery can damage the catheter and cause spasm.
Prevention
Prevention
The key to prevention of this disease is to pay attention to labor protection, traffic safety, prevention of facial and facial trauma, and cases of facial damage, especially in the parotid gland, should be well debrided and sutured to avoid the occurrence of this disease. Fasting acidic foods is worth remembering.
Complication
Complications Complications, purulent mumps
The orbital catheter of the parotid duct often has atrophy or atresia, and the closed subcutaneous effusion persists for a long time.
Symptom
symptoms common symptoms
1. A point-like fistula can be seen on the skin corresponding to the gland or duct site.
2. Flow out of clear liquid and increase when eating.
Examine
Awkward inspection
1. Check the project for the smaller gland sputum to check the frame limit "A";
2. Larger gland sputum or catheter sputum examinations may include examination of the limits "A", "B".
Diagnosis
Diagnostic diagnosis
diagnosis
1. History of trauma or surgery.
2. The skin of the face is small, the drip is out, and it is related to eating.
3. Injecting methylene blue into the catheter can overflow from the fistula.
The glandular gland of the parotid gland should be distinguished from the first cleft palate when it is between the earlobe and the mandibular angle. The latter is a congenital cleft palate with a long history and a sebum-like or okara-like substance. Lean pus, but less secretion, has nothing to do with eating, patients have no history of surgery or trauma in the area.
