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Post a Comment Sialorrhoea due to development of salivary fistula after carotid endarterectomy. Diagnostics and treatment. A clinical case
- Authors: Vronsky А.S.1,2, Golovacheva Е.А.1, Oborin A.A.2, Mozgovaya S.V.2, Lazarkov P.V.1,2, Prokhorov К.V.1
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Affiliations:
- Clinical Cardiology Dispensary
- E.A. Vagner Perm State Medical University
- Issue: Vol 40, No 6 (2023)
- Pages: 114-119
- Section: Clinical case
- URL: https://journals.rcsi.science/PMJ/article/view/254792
- DOI: https://doi.org/10.17816/pmj406114-119
- ID: 254792
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Abstract
Wound complications after carotid endarterectomy are rare ones. One of them is the formation of a salivary fistula due to the damage of the submandibular salivary gland. A factor that increases the likelihood of the damage of the salivary gland is a high bifurcation of the carotid arteries. This article presents a case of conservative treatment of the salivary fistula after carotid endarterectomy. Modern diagnostic methods, consisting in biochemical analysis of the secreted fluid for alpha-amylase, contribute to rapid diagnostics. Treatment with the anticholinergic drug 0.1 % atropine sulfate, 6 drops under the tongue half an hour before each meal, has proved its efficiency. In conjunction with medical treatment, it is necessary to ensure an adequate outflow of saliva from the wound to prevent the formation of salivoma and compression of the airways. Long-term conservative therapy makes it possible to achieve a complete cessation of sialorrhea through a salivary fistula and to eliminate the need for surgical treatment.
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##article.viewOnOriginalSite##About the authors
А. S. Vronsky
Clinical Cardiology Dispensary; E.A. Vagner Perm State Medical University
Author for correspondence.
Email: ASVronskiy@gmail.com
ORCID iD: 0000-0002-0465-8964
Candidate of Medical Sciences, cardiovascular surgeon, postgraduate student
Russian Federation, Perm; PermЕ. А. Golovacheva
Clinical Cardiology Dispensary
Email: ASVronskiy@gmail.com
ORCID iD: 0009-0008-2341-1802
cardiovascular surgeon, Head of the Cardiac Surgery Unit
Russian Federation, PermA. A. Oborin
E.A. Vagner Perm State Medical University
Email: ASVronskiy@gmail.com
ORCID iD: 0000-0003-4082-8745
cardiovascular surgeon, postgraduate student
Russian Federation, PermS. V. Mozgovaya
E.A. Vagner Perm State Medical University
Email: ASVronskiy@gmail.com
ORCID iD: 0000-0003-2551-1387
Candidate of Medical Sciences, Associate Professor, maxillofacial surgeon
Russian Federation, PermP. V. Lazarkov
Clinical Cardiology Dispensary; E.A. Vagner Perm State Medical University
Email: ASVronskiy@gmail.com
ORCID iD: 0000-0001-7165-9134
cardiovascular surgeon; postgraduate student
Russian Federation, Perm; PermК. V. Prokhorov
Clinical Cardiology Dispensary
Email: ASVronskiy@gmail.com
ORCID iD: 0000-0002-8418-6097
Candidate of Medical Sciences, roentgen endovascular surgeon, Chief Physician
Russian Federation, PermReferences
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