Repository of Research and Investigative Information

Repository of Research and Investigative Information

Kurdistan University of Medical Sciences

Surgical management of Stenson's duct injury by using double J stent urethral catheter

(2015) Surgical management of Stenson's duct injury by using double J stent urethral catheter. International Journal of Surgery Case Reports.

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

Background Parotid duct or gland injury can be caused by assault with a knife, bottle, electrical-saw, road traffic accident, or rarely gunshot and fractures of the facial skeleton. The injury can be in the form of laceration, ductal exposure, total cutting, or crushing of the duct. These conditions are difficult to diagnose because of complex anatomy and variable forms of the injury. A successful management of parotid duct injuries depends on early diagnosis and appropriate intervention; improper surgery may lead to complications such as sialocele or salivary fistula Case report A 27-years-old man was presented to the maxillofacial unit, complaining of bleeding over the right side of his face after accidental exposure to a chain-saw three hours before admission. On examination, a 6 cm deep lacerated wound was found over the right buccal area, suspecting facial nerve-buccal branch and parotid duct injury. Under general anesthesia the parotid duct injury diagnosed, microsurgical anastomosis of the cut-ends of the parotid duct performed using the double J catheter. Sutures and JJ stent removed seven and twenty postoperative days respectively. After a proper supportive treatment a complete healing of the duct was obtained with normal amount of saliva. Conclusions Herein, we described an easy yet efficient technique in management of parotid duct injury using a JJ stent which is often used for urethra. We think that use of JJ stent is a valuable technique to be used in the diagnosis and surgical repair of the parotid duct during traumatic facial and/or parotid injuries. © 2015 The Authors.

Item Type: Article
Keywords: analgesic agent; antibiotic agent; chlorhexidine gluconate; sodium chloride, adult; anastomosis; Article; case report; debridement; double J stent; facial nerve injury; general anesthesia; human; male; microsurgery; mouth hygiene; parotid duct injury; parotid gland disease; priority journal; soft tissue injury; tissue repair; wound closure; wound irrigation
Page Range: pp. 75-78
Journal or Publication Title: International Journal of Surgery Case Reports
Volume: 17
Publisher: Elsevier Ltd
Identification Number: 10.1016/j.ijscr.2015.10.036
ISSN: 22102612
Depositing User: مهندس جمال محمودپور
URI: http://eprints.muk.ac.ir/id/eprint/909

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