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外伤性腮腺导管断离吻合术失败原因分析

杜传亮 马一文 万淑红 王淑琴

口腔颌面外科杂志2011,Vol.21Issue(5):358-359,2.
口腔颌面外科杂志2011,Vol.21Issue(5):358-359,2.DOI:10.3969/j.issn.1005-4979.2011.05.016

外伤性腮腺导管断离吻合术失败原因分析

Closure of Salivary Fistula due to Traumatic Injuries

杜传亮 1马一文 2万淑红 1王淑琴1

作者信息

  • 1. 青岛市第八人民医院口腔科,山东青岛 266100
  • 2. 青岛理工大学校医院口腔科,山东青岛266033
  • 折叠

摘要

Abstract

Objective:To discuss the reasons of treatment failure of parotid duct injury. Methods: 33 traumatic parotid duct cases were reviewed. After debridement, the fistula was closed under local anesthesia, which primary repair was located over a catheter. And then the duct was united with interrupted sutures. A dressing and a pressure bandage were applied. Results: 8 cases were not successful, whose parotid duct fistula was re-operated, and then fistulas were eliminated. Conclusion: Fully exposure and small tension is the key factor in debridement and suturing. Appropriate pressure, adequate parotid secretion, antibiotics, special mouth care, and time of pulling catheter are very important after operation.

关键词

腮腺导管/断裂/吻合术/失败原因

Key words

parotid duct/traumatize/debridement and suturing/failure reason

分类

医药卫生

引用本文复制引用

杜传亮,马一文,万淑红,王淑琴..外伤性腮腺导管断离吻合术失败原因分析[J].口腔颌面外科杂志,2011,21(5):358-359,2.

口腔颌面外科杂志

OACSTPCD

1005-4979

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