Conservative management of parotid fistula and sialocele

Abstract

Sialocele is a collection of saliva in the subcutaneous tissue or in the glandular tissues. When this communicates with the skin and drains it is known as parotid fistula. The causes are sharp penetrating trauma, infectious drainage, TMJ surgery, parotidectomy, condylar fracture reduction. We report a case of parotid fistula is due to sharp penetrating object and a case of parotid sialocele following open reduction of condylar fracture. There are numerous methods of treatment of parotid fistula and sialocele. Here we followed repeated aspiration, pressure dressing and oral administration of hyoscine. The excellent result was achieved with conservative therapy.