Arch Craniofac Surg.  2020 Aug;21(4):253-256. 10.7181/acfs.2019.00773.

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

• Chung CM
• Wee SJ
• Lim H
• Cho SH
• Lee JW

• KMID: 2505796
• DOI: http://doi.org/10.7181/acfs.2019.00773

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.

Keyword

Antidepressive agent, tricyclic; Drainage; Nortriptyline; Salivary gland; Wound, stab