Treatment of Botulinum Toxin Type A in Parotid Fistula after Face Lifting.
10.14730/aaps.2014.20.2.120
- Author:
Min Su JUNG
1
;
Byeong Ho LEE
;
Joo Hyun KIM
;
Seong Hoon PARK
;
Duk Kyun AHN
;
Hii Sun JEONG
;
In Suck SUH
Author Information
1. Department of Plastic and Reconstructive Surgery, KangNam Sacred Heart Hospital, College of Medicine, Hallym University, Seoul, Korea. sismdps@chol.com
- Publication Type:Case Report
- Keywords:
Botulinum toxin A;
Facelift;
Fistula;
Parotid gland
- MeSH:
Acetylcholine;
Amylases;
Bandages;
Botulinum Toxins;
Botulinum Toxins, Type A*;
Cheek;
Diagnosis;
Fistula*;
Humans;
Iodine;
Neuromuscular Junction;
Parotid Gland;
Rhytidoplasty*;
Salivary Glands;
Scopolamine Hydrobromide;
Sialography;
Sialorrhea;
Starch;
Temporomandibular Joint
- From:Archives of Aesthetic Plastic Surgery
2014;20(2):120-123
- CountryRepublic of Korea
- Language:English
-
Abstract:
Botulinum toxin type A has an inhibitory action not only on neuromuscular junctions, but also postganglionic sympathetic and cholinergic autonomic parasympathetic acetylcholine release at the secretary end of the salivary gland. Use of botulinum toxin to treat sialorrhea was first reported in 1997 by Bushara. Parotid duct or gland injuries with parotid fistula are uncommon but troublesome complications of surgical trauma. Here, we report two patients with constant leakage of serous fluid and a swelling cheek after facelift surgery. Each patient underwent an amylase test, starch iodine test, and sialography. After diagnosis of parotid fistula, a total of 50 units botulinum toxin was injected into the parotid gland. Facial bandage, scopolamine, and minimizing temporomandibular joint motion were instructed. Leakage volume decreased gradually, and symptoms subsided within 2 weeks. Neither functional problems nor complications occurred. In conclusion, a parotid fistula after facial surgery can be treated effectively with botulinum toxin; this treatment option should be considered before proceeding with invasive surgical treatment.
