A Direct Approach for Transposition of the Parotid Duct

Transplantation of the Major Salivary Glands

“…A number of case reports and descriptive studies exist but none of the entirely historic studies were prospective or provide detailed, (semi)quantitative follow-up data [2,13,15]. Until recently the technique has been popular with veterinary ophthalmologists who have performed it in beagles, which frequently suffer from severe dry eye.…”

“…Filatov and Chevaljev initially used a cutaneous direct approach to the parotid duct, until later Pierce et al [13] described an entirely oral technique. The direct approach uses a preauricular skin incision to visualise and mobilise the entire parotid duct.…”

“…This is then passed through a tunnel on the periosteum of the zygoma deep to all muscles, vessels and nerves. Its end enters in and is sutured to the conjunctiva of the inferotemporal conjunctival sac [13,15].…”

Transplantation of the Major Salivary Glands

“…A number of case reports and descriptive studies exist but none of the entirely historic studies were prospective or provide detailed, (semi)quantitative follow-up data [2,13,15]. Until recently the technique has been popular with veterinary ophthalmologists who have performed it in beagles, which frequently suffer from severe dry eye.…”

“…Filatov and Chevaljev initially used a cutaneous direct approach to the parotid duct, until later Pierce et al [13] described an entirely oral technique. The direct approach uses a preauricular skin incision to visualise and mobilise the entire parotid duct.…”

“…This is then passed through a tunnel on the periosteum of the zygoma deep to all muscles, vessels and nerves. Its end enters in and is sutured to the conjunctiva of the inferotemporal conjunctival sac [13,15].…”

Bilateral Microvascular Submandibular Gland Transfer with Implantation of Wharton's Duct in Superior Conjunctival Fornix: A Vision-Saving Procedure for Severe Dry Eye Disease

“…Pierce et al described a modification by which the procedure could be performed completely intraorally. 9 The problems associated with parotid gland secretion are its excessive in quantity and being more serous; this does not match natural tear secretion.…”

Transplantation of the Major Salivary Glands

“…A number of case reports and descriptive studies exist but none of the entirely historic studies were prospective or provide detailed, (semi)quantitative follow-up data [2,13,15]. Until recently the technique has been popular with veterinary ophthalmologists who have performed it in beagles, which frequently suffer from severe dry eye.…”

“…Filatov and Chevaljev initially used a cutaneous direct approach to the parotid duct, until later Pierce et al [13] described an entirely oral technique. The direct approach uses a preauricular skin incision to visualise and mobilise the entire parotid duct.…”

“…This is then passed through a tunnel on the periosteum of the zygoma deep to all muscles, vessels and nerves. Its end enters in and is sutured to the conjunctiva of the inferotemporal conjunctival sac [13,15].…”

Bilateral Microvascular Submandibular Gland Transfer with Implantation of Wharton's Duct in Superior Conjunctival Fornix: A Vision-Saving Procedure for Severe Dry Eye Disease

“…Pierce et al described a modification by which the procedure could be performed completely intraorally. 9 The problems associated with parotid gland secretion are its excessive in quantity and being more serous; this does not match natural tear secretion.…”

Transplantation of the Major Salivary Glands

“…A number of case reports and descriptive studies exist but none of the entirely historic studies were prospective or provide detailed, (semi)quantitative follow-up data [2,13,15]. Until recently the technique has been popular with veterinary ophthalmologists who have performed it in beagles, which frequently suffer from severe dry eye.…”

“…Filatov and Chevaljev initially used a cutaneous direct approach to the parotid duct, until later Pierce et al [13] described an entirely oral technique. The direct approach uses a preauricular skin incision to visualise and mobilise the entire parotid duct.…”

“…This is then passed through a tunnel on the periosteum of the zygoma deep to all muscles, vessels and nerves. Its end enters in and is sutured to the conjunctiva of the inferotemporal conjunctival sac [13,15].…”

Bilateral Microvascular Submandibular Gland Transfer with Implantation of Wharton's Duct in Superior Conjunctival Fornix: A Vision-Saving Procedure for Severe Dry Eye Disease

“…Pierce et al described a modification by which the procedure could be performed completely intraorally. 9 The problems associated with parotid gland secretion are its excessive in quantity and being more serous; this does not match natural tear secretion.…”