Fiche publication
Date publication
janvier 2022
Journal
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons
Auteurs
Membres identifiés du Cancéropôle Est :
Pr MEYER Christophe
Tous les auteurs :
Louvrier A, Bertin E, Boulahdour Z, Meyer C
Lien Pubmed
Résumé
Salivary gland and duct complications following surgical approaches to condylar fractures are well known, particularly in approaches requiring parotid tissue dissection. We report a rare case of a parotid duct wound caused by the fracture itself and due to a lateral displacement of the condylar fragment. Four days after the surgical management of a trifocal mandibular fracture (head fracture on the left side, laterally displaced condylar base and angular fracture on the right side) the patient presented with a fluctuating subcutaneous swelling in the right cheek, evoking a sialocele. The sialography showed a massive leak of iodinated contrast medium just in front of the parotid hilum, joining the subcutaneous undermining made during the approach and confirmed the diagnosis of a parotid duct wound. A pressure dressing was applied to the right mandibular angle for 2 weeks, allowing for complete remission. In conclusion, this unusual clinical case illustrates the fact that the parotid duct may be endangered in the event of condylar base fractures, not only by the surgical approach but also by the fracture itself, especially when there is severe lateral displacement.
Mots clés
Fracture Fixation, Internal, Humans, Mandible, Mandibular Condyle, diagnostic imaging, Mandibular Fractures, diagnostic imaging, Parotid Gland, diagnostic imaging, Salivary Ducts, diagnostic imaging, Sialography
Référence
J Oral Maxillofac Surg. 2022 01;80(1):137.e1-137.e6
