Parotid Duct Injury Repaired Using an Angiocatheter Stent: A Case Report

Authors: Bathula SR* , Desai S and Stern N

DOI: 10.23880/ooaj-16000313

Volume 11, Issue 1

Abstract

Parotid duct injuries are uncommon but potentially serious sequelae of facial trauma and require prompt diagnosis and management to prevent complications such as sialocele formation, salivary fistula, and glandular atrophy. Various techniques for parotid duct repair have been described, often involving intraductal stenting with specialized catheters. This report describes the use of a readily available angiocatheter as an alternative tool for parotid duct identification and surgical repair. A 36-year-old male presented with a gunshot wound to the left face, resulting in extensive soft tissue and osseous injury, including complete transection of the parotid duct. Due to significant hemorrhage and the extent of injury, immediate surgical intervention was performed. A 20-gauge angiocatheter was inserted into Stenson’s duct and used to guide tension-free endto- end ductal reanastomosis with 7-0 Prolene suture. Intraoperative irrigation confirmed ductal patency without leakage. The catheter was maintained intraorally for 14 days postoperatively. The patient experienced no complications, and normal parotid duct function was restored. Angiocatheters are widely available, flexible, and minimally traumatic, making them well suited for use as intraductal stents in acute trauma settings. This case demonstrates that angiocatheter-assisted parotid duct repair is a practical, effective, and reproducible technique for restoring ductal continuity and preserving parotid gland function following traumatic injury.

Keywords: Parotid Duct; Angiocatheter; Anastomosis

View PDF