Stensen's duct reconstruction associated with facial trauma: a case report

Alejandra Carrera Holguin; Maria del Carmen Arrieta Barragan; Edgar Alexis Flores Garcia; Ricardo Burciaga Castañeda; Rafael Delgado Duarte; Jose Martin Hinojosa Rodriguez; Irvin Hernandez Sanchez; Victor Mario Ortega Valerio

doi:10.18203/2349-2902.isj20261836

Authors

Alejandra Carrera Holguin Department of General Surgery, Hospital General de Torreon, Coahuila, Mexico
Maria del Carmen Arrieta Barragan Centro Medico ABC, Ciudad de Mexico, Mexico
Edgar Alexis Flores Garcia Hospital Nuevo Gómez Palacio, Durango, México
Ricardo Burciaga Castañeda C. H. ISSSTE Gómez Palacio, Durango, Mexico
Rafael Delgado Duarte Department of General Surgery, Hospital General ISSSTE Zacatecas, Mexico
Jose Martin Hinojosa Rodriguez Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de Mexico, Mexico
Irvin Hernandez Sanchez Hospital General de México “Dr. Eduardo Liceaga”, Ciudad de Mexico, Mexico
Victor Mario Ortega Valerio Hospital General Zacatecas, ISSSTE N.26, Mexico

DOI:

https://doi.org/10.18203/2349-2902.isj20261836

Keywords:

Stensen’s duct, Parotid duct injury, Facial trauma, Sialocele, Plastic surgery, Facial nerve

Abstract

Facial lacerations involving the parotid duct are rare injuries (0.1% to 0.3% of facial lacerations in major trauma studies) but clinically important in the field of maxillofacial and plastic surgery. Its position on the cheek and proximity to the buccal branch of the facial nerve put it at risk for penetrating injuries, lacerations, and crush damage. If not diagnosed and treated, these lesions can cause sialoceles, parotid-cutaneous fistulas, chronic infections, and functional problems, which can lower the patient's quality of life. The secret of success in repair is knowledge of regional anatomy.

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