Radiotherapy : an option for refractory salivary fistulas

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, fis...

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Bibliographic Details
Published in:HNO 2009-12, Vol.57 (12), p.1325
Main Authors: Christiansen, H, Wolff, H A, Knauth, J, Hille, A, Vorwerk, H, Engelke, C, Rödel, R, Laskawi, R
Format: Article
Language:ger
Subjects:
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
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Description
Summary: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.
ISSN:1433-0458
DOI:10.1007/s00106-009-1988-y