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The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula

A sialo-cutaneous fistula is a communication between the skin and a salivary gland or duct discharging saliva. Trauma and iatrogenic complications are the most common causes of this condition. Treatments include aspiration, compression, and the administration of systemic anticholinergics; however, t...

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Detalles Bibliográficos
Autores principales: Hong, Seung Eun, Kwon, Jung Woo, Kang, So Ra, Park, Bo Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Cleft Palate-Craniofacial Association 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556845/
https://www.ncbi.nlm.nih.gov/pubmed/28913292
http://dx.doi.org/10.7181/acfs.2016.17.4.237
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author Hong, Seung Eun
Kwon, Jung Woo
Kang, So Ra
Park, Bo Young
author_facet Hong, Seung Eun
Kwon, Jung Woo
Kang, So Ra
Park, Bo Young
author_sort Hong, Seung Eun
collection PubMed
description A sialo-cutaneous fistula is a communication between the skin and a salivary gland or duct discharging saliva. Trauma and iatrogenic complications are the most common causes of this condition. Treatments include aspiration, compression, and the administration of systemic anticholinergics; however, their effects are transient and unsatisfactory in most cases. We had a case of a patient who developed an iatrogenic sialo-cutaneous fistula after wide excision of squamous cell carcinoma in the parotid region that was not treated with conventional management, but instead completely resolved with the injection of botulinum toxin. Based on our experience, we recommend the injection of botulinum toxin into the salivary glands, especially the parotid gland, as a conservative treatment option for sialo-cutaneous fistula.
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spelling pubmed-55568452017-09-14 The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula Hong, Seung Eun Kwon, Jung Woo Kang, So Ra Park, Bo Young Arch Craniofac Surg Case Report A sialo-cutaneous fistula is a communication between the skin and a salivary gland or duct discharging saliva. Trauma and iatrogenic complications are the most common causes of this condition. Treatments include aspiration, compression, and the administration of systemic anticholinergics; however, their effects are transient and unsatisfactory in most cases. We had a case of a patient who developed an iatrogenic sialo-cutaneous fistula after wide excision of squamous cell carcinoma in the parotid region that was not treated with conventional management, but instead completely resolved with the injection of botulinum toxin. Based on our experience, we recommend the injection of botulinum toxin into the salivary glands, especially the parotid gland, as a conservative treatment option for sialo-cutaneous fistula. The Korean Cleft Palate-Craniofacial Association 2016-12 2016-12-23 /pmc/articles/PMC5556845/ /pubmed/28913292 http://dx.doi.org/10.7181/acfs.2016.17.4.237 Text en © 2016 The Korean Cleft Palate-Craniofacial Association http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Hong, Seung Eun
Kwon, Jung Woo
Kang, So Ra
Park, Bo Young
The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula
title The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula
title_full The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula
title_fullStr The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula
title_full_unstemmed The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula
title_short The Effect of Botulinum Toxin on an Iatrogenic Sialo-Cutaneous Fistula
title_sort effect of botulinum toxin on an iatrogenic sialo-cutaneous fistula
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5556845/
https://www.ncbi.nlm.nih.gov/pubmed/28913292
http://dx.doi.org/10.7181/acfs.2016.17.4.237
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