Parotid stone removed through open facial approach
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Open transfacial approach to removal of parotid stone
Note that this case and several other similar cases developed salivary drainage from the penrose drain site with meals after surgery. The differential diagnosis of drainage from disrupted parotid tissue (felt to be most likely) versus drainage from the duct at region of micro-repair was entertained. All cases responded to a short course of transdermal scopolamine (see reference Gallo et al 2013) with healing of drain site without further swelling or fluid drainage or accumulation.
Gallo A, Manciocco V, Pagliuca G, Martellucci S, and de Vincentiis M: Transdermal scopolamine in the management of postparotidectomy salivary fistual. ENT- Ear, Nose & Throat Journal October/November 2013 Volume 92, Number 10-11 pp 516-519