1993 Volume 1993 Issue Supplement61 Pages 194-198
Injury to the parotid duct caused by a broken piece of windshield in a traffic accident has been relatively rare. Therefore, in some cases traumatonesis was performed in the course of emergency therapy without confirming the existence of a duct lesion.
This paper reported an example in which a cyst appeared in the salivary gland after treatment for a facial injury caused by a broken piece of a windshield. The patient, a 19year-old male, visited our department with complaints of swelling and tenderness on the cheek fourteen days after the initial treatment. Since palsy of the rami buccales of the facial nerves and a cyst at the outer side of the masseter were found, ligation of the main parotid duct and Leriche's surgery were performed.
Determination should be ma d e whether the parotid duct has been damaged before treating facial injury in certain cases.