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Surgical Technique
January 2007

Intraoral Transposition of Traumatic Parotid Duct Fistula

Author Affiliations

Author Affiliations: Department of Otolaryngology–Head and Neck Surgery (Drs Doctor, Rafii, Enepekides, and Tollefson), Cleft and Craniofacial Program, Facial Plastic and Reconstructive Surgery (Dr Tollefson), University of California, Davis Medical Center, Sacramento.

Correspondence: Travis T. Tollefson, MD, Department of Otolaryngology–Head and Neck Surgery, University of California, Davis Medical Center, 2521 Stockton Blvd, Suite 7200, Sacramento, CA 95817 (travis.tollefson@yahoo.com).

Arch Facial Plast Surg. 2007;9(1):44-47. doi:10.1001/archfaci.9.1.44

Parotid duct fistula is uncommon but difficult-to-treat complication that often results from a penetrating trauma. While there is general consensus in the literature as to the management of acute parotid injuries, treatment of chronic fistulas remains controversial. We review the current treatment options for parotid duct fistulas and describe an intraoral diversion technique to reestablish salivary flow in the setting of a nonfunctional parotid duct punctum.