METHOD FOR TREATMENT OF CHRONIC SIALODOCHITIS Russian patent published in 1997 - IPC

FIELD: medicine; surgical stomatology. SUBSTANCE: proposed treatment method resides in practising semioval non-diverging incision in cheek mucosa area at distance of 0.5-1.0 cm forwards and upwards from parotid duct mouth, followed by isolating parotid duct from surrounding tissues beyond limits of cheek muscle. Next tongue-shaped graft having base directed downwards and forwards is tailored out of broadened portion of parotid duct. Graft is turned over so that its epithelial underlayer be directed forwards, led to fill wound on cheek and secured to cheek mucosa. Remaining portion of wound surface of duct is fixed by suturing to cheek mucosa and catheter is introduced for 3-4 weeks into opening thus-formed. Proposed method offers following advantages: in becomes possible to prevent aggravations of chronic sialodochitis by forming new opening for saliva-discharging duct. Size of new opening is not less than size of physiological opening and it is capable to discharge at once whole of saliva accumulated in broadened duct. It becomes possible to prevent saliva retention phenomenon conductive to further development of sialodochitis, since there is no longer any secretion stagnation in saliva-discharging duct. It becomes possible to practise surgical operation from oral cavity, thus avoiding subsequent formation of disfiguring residual skin scars. It becomes possible to prevent trauma to facial nerve branches, followed by paralysis of mimic muscles. EFFECT: effective treatment and prophylaxis of chronic sialodochitis. 5 dwg