Abstract
Objective: To present a case of sialocoele of the parotid gland secondary to trauma and outline its management. Methods: A 34-year-old patient with a penetrating injury of the parotid duct resulting in a sailocoele was treated with anticholinergics and probanthin initially. As the collection kept recurring, a cannula of appropriate size was introduced into the sialocoele via the stenson's duct orifice under local anaesthesia and sutured to the oral mucosa. Results: When the patient was decannulated 3 weeks later, the tract had completely epithilized as evidenced by excellent salivary flow on stimulation and the patient was free of any swelling or symptoms. Conclusion: Transoral cannulation of the sialocoele under local anaesthesia is a quick and effective means of managing chronic refractory sialocoeles when ductal anastomosis is precluded.
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