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December 1962

Parotid Gland Atrophy: Observations After Ligation of Stenson's Duct

Author Affiliations

From the Department of Surgery, New York University School of Medicine, the New York University Surgical Division, Bellevue Hospital, and the New York University Hospital.

Arch Surg. 1962;85(6):1042-1044. doi:10.1001/archsurg.1962.01310060178034

The purpose of this report is to discuss an observation on a patient who had sustained a traumatic salivary fistula which was treated successfully by ligation of the parotid duct. The patient is one of a series reported in a previous communication dealing with purposeful ligation of the parotid duct as a means of treating persistent salivary fistula.1

Report of a Case  A 21-year-old Negro man sustained a deep knife wound of the left face, just anterior to the ear, on Oct. 12, 1955. On admission he was found to have complete paralysis of the left side of the face. Operation at this time was confined to suturing the facial wound. Six days later he developed a tumorlike swelling over the left parotid area. Aspiration yielded clear yellow fluid apparently of salivary gland origin. After aspiration he developed a persistent salivary fistula. Sialography revealed a large cystic space connecting