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Article
March 2, 1935

PRIMARY REPAIR OF SEVERED PAROTID DUCT: METHOD OF FIXATION OF AN INLYING DOWEL

Author Affiliations

Louisville, Ky.
From the University of Louisville School of Medicine and the Department of Surgery, Louisville City Hospital.

JAMA. 1935;104(9):733-734. doi:10.1001/jama.1935.92760090001011
Abstract

Since 1926 there have appeared three articles1 emphasizing the importance of the immediate repair of severed parotid ducts. Disfiguring and annoying external parotid fistulas are prevented by this procedure. Such fistulas, as is well known, are often difficult to close. All these authors have recorded successful cases: Tees two, Dickinson one and Black and Flagge one, four in all. The literature previous to 1926 is strangely silent on the subject of primary anastomosis; most discussions and case reports, even those which appeared during and shortly after the World War, concerned themselves with problems of secondary repair and with the control of the discharge. Because the war wounds were ragged, extensive and contaminated, it was impracticable, for the most part, to attempt primary suture. Nevertheless, Schmieden2 in 1916 reported the primary end-to-end repair of a severed duct on the field of battle; no particulars as to technic were included in his

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