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- Title
Transdermal scopolamine for the treatment of recurrent parotid sialocele: a case report.
- Authors
Chi Hyun Lee; Changryul Claud Yi; Yong Chan Bae; Jae Woo Lee; Byung-Joo Lee; Joo Hyoung Kim
- Abstract
Recurrent parotid sialocele is rare and challenging to treat. Treatment options are limited for cases of parotid sialocele that recur despite ductal ligation. This case study presents a patient who underwent wide excision of the right buccal mucosa due to squamous cell carcinoma. During the wide excision, a segment of the parotid duct was excised, and ductal ligation was performed to prevent the occurrence of a sialocele, followed by reconstruction using a folded anterolateral thigh free flap. Twenty-two days after surgery, parotid sialocele occurred despite the initial ductal ligation and subsequent ductal ligation was performed; however, the sialocele recurred. As an alternative therapeutic option, a transdermal scopolamine patch was applied for 3 weeks, with one patch used every 3 days. The results were encouraging, with complete resolution of the sialocele. A transdermal scopolamine offers a noninvasive, convenient method of treating parotid sialocele with minimal side effects. The successful outcome of this case suggests that a transdermal scopolamine can be an effective therapeutic option for recurrent parotid sialocele in conjunction with surgical treatment.
- Subjects
PAROTID glands; SCOPOLAMINE; SQUAMOUS cell carcinoma
- Publication
Archives of Craniofacial Surgery, 2024, Vol 25, Issue 1, p44
- ISSN
2287-1152
- Publication type
Article
- DOI
10.7181/acfs.2023.00360