[Radiotherapy : an option for refractory salivary fistulas]

HNO. 2009 Dec;57(12):1325-8. doi: 10.1007/s00106-009-1988-y.
[Article in German]

Abstract

A 45-year-old patient presented with refractory salivary fistula, attributed to multiple surgery and Botulinum toxin, following lateral parotidectomy. He underwent fractionated radiotherapy of the remaining parotid gland including the fistula opening (total dose of 30 Gy) at our clinic. In time, fistula secretion could be inhibited completely. Although the indication for radiotherapy for such fistulas is rare since Botulinum toxin has been in use, it should still be considered in refractory disease courses.

Publication types

  • Case Reports

MeSH terms

  • Adenolymphoma / diagnostic imaging
  • Adenolymphoma / surgery*
  • Botulinum Toxins, Type A / administration & dosage*
  • Combined Modality Therapy
  • Cutaneous Fistula / diagnostic imaging
  • Cutaneous Fistula / radiotherapy*
  • Humans
  • Injections
  • Male
  • Microsurgery
  • Middle Aged
  • Neoplasm, Residual / diagnostic imaging
  • Neoplasm, Residual / radiotherapy
  • Parotid Diseases / diagnostic imaging
  • Parotid Diseases / radiotherapy*
  • Parotid Gland / surgery*
  • Parotid Neoplasms / diagnostic imaging
  • Parotid Neoplasms / surgery*
  • Postoperative Complications / diagnostic imaging
  • Postoperative Complications / radiotherapy*
  • Recurrence
  • Reoperation
  • Salivary Gland Fistula / diagnostic imaging
  • Salivary Gland Fistula / radiotherapy*
  • Tomography, X-Ray Computed
  • Ultrasonography, Interventional

Substances

  • Botulinum Toxins, Type A