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Case Reports
. 2020 Aug;21(4):253-256.
doi: 10.7181/acfs.2019.00773. Epub 2020 Aug 20.

Early management of parotid gland injury with oral nortriptyline and closed drain

Chan Min Chung  1 , Sung Jae Wee  1 , Hyoseob Lim  1 , Sang Hun Cho  1 , Jong Wook Lee  2
Affiliations
Case Reports

Early management of parotid gland injury with oral nortriptyline and closed drain

Chan Min Chung et al. Arch Craniofac Surg. 2020 Aug.

Abstract

Parotid gland plays the most critical role in saliva secretion in the oral cavity. Parotid gland injuries due to facial trauma can cause various complications such as formation of a fistula or sialocele. Thus, such saliva-related complications can interfere with wound healing and increase the risk of infection. Several previous studies have discussed the treatment of fistula or sialocele. Nonetheless, prevention of such complications is of utmost importance. We present a case of parotid gland injury due to trauma to the cheeks that was surgically treated, with early postoperative management involving oral administration of nortriptyline and closed drainage, without complications.

Keywords: Antidepressive agent, tricyclic; Drainage; Nortriptyline; Salivary gland; Wound, stab.

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Conflict of interest statement

Conflict of interest

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1.
Fig. 1.
A 79-year-old woman with three stab wounds on the right cheek.
Fig. 2.
Fig. 2.
Intraoperative photograph showing repaired marginal mandibular branch of the facial nerve and injured parotid gland.
Fig. 3.
Fig. 3.
Postoperative photograph 1 day after surgery.
Fig. 4.
Fig. 4.
Postoperative photograph 7 weeks after surgery.
See this image and copyright information in PMC

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