Ligation of the Parotid Duct in Chronic Recurrent Parotitis

Successful treatment of parotid fistula with tympanic neurectomy

“…Sectioning of chorda tympani has been advocated by some authors to be of additional benefi t considering the fact that chorda may also contribute to parasympathetic supply to parotid gland [9,14]. However, in a study, Ross [15] measured the salivary outfl ow from the Stenson duct in eight patients with normal parotid gland at the time of stapedectomy using 2v of faradic current stimulation.…”

Recurrent parotid enlargement

“…GoldingWood (1962) successfully controlled one of his patients, using transaural tympanic neurectomy as a direct attack on the parasympathetic motor supply. Ligation of the parotid duct was advocated by a few writers abroad (Laage-Hellman, 1955 ;Diamant, 1958). Finally, the one certain way of curing the condition, total parotidectomy, has been advocated by those surgeons with particular skill and experience in this type of surgery.…”

“…In the present series, intra-oral duct ligation was employed (LeClerc, I923 ; -Hellman, 1955;Diamant, 1958Diamant, , 1964 and half of these developed intra-oral salivary fistulae (Table XZZ). T h e latter had a mean secretion rate considerably higher than that of the successful ligations.…”

Recurrent Swellings of the Parotid Gland, Sialectasis and Mikulicz's Syndrome

“…In the past the following methods of treatment have been suggested: low-dose radiotherapy (Dorrance 1935, Smith 1953; avulsion of the auricular temporal nerve (Wakeley 1948); tympanic neurectomy (Golding-Wood 1962); duct ligation (Diamant 1958) and parotidf. .…”