Tympanic neurectomy in the management of parotid sialectasis

The term sialectasis refers to dilatation of the salivary ducts. Parotid sialectasis presents itself as recurrent painful swellings during mastication and/or swallowing. Our results with 10 cases treated by tympanic neurectomy over a period of nine years, from 1983 to 1992, were encouraging as seven...

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Bibliographic Details
Published in:Journal of laryngology and otology 1995-12, Vol.109 (12), p.1155-1158
Main Authors: Daud, A. S., Pahor, A. L.
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Dilatation, Pathologic - surgery
Ear
Ear, Middle - innervation
Female
Humans
Main Articles
Male
Medical sciences
middle
Middle Aged
Neurectomy
Non tumoral diseases
Otorhinolaryngology. Stomatology
Parasympathectomy - methods
Parotid Diseases - surgery
Parotid gland
Parotid Gland - innervation
Postoperative Complications
Salivary gland diseases
Treatment Outcome
tympanic
Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology
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Summary:The term sialectasis refers to dilatation of the salivary ducts. Parotid sialectasis presents itself as recurrent painful swellings during mastication and/or swallowing. Our results with 10 cases treated by tympanic neurectomy over a period of nine years, from 1983 to 1992, were encouraging as seven cases had improvement of their symptoms. Anatomy of the tympanic plexus and surgical procedure are discussed as well as a review of the literature. We recommend extensive interruption of the secreto-motor nerve fibres by thoroughly drilling into the hypotympanum and below the basal turn of the cochlea. We also recommend that this be carried out by an experienced otologist to avoid possible complications.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100132311