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Local experience using botulinum toxin for the management of post-parotidectomy fistulas and recurrent parotitis

  
@article{AJO3993,
	author = {Luke M. O’Neil and Carsten E. Palme and Faruque Riffat and Neil Mahant},
	title = {Local experience using botulinum toxin for the management of post-parotidectomy fistulas and recurrent parotitis},
	journal = {Australian Journal of Otolaryngology},
	volume = {1},
	number = {0},
	year = {2018},
	keywords = {},
	abstract = {Background: Botulinum toxin (BTx) reduces the production of saliva in salivary glands. Literature supporting the use of BTx in post-parotidectomy fistulas and recurrent parotitis is expanding, however use in Australia has been limited. We report our experience with BTx for the management of post-parotidectomy fistulas and recurrent parotitis. 
Methods: Case series. Patients were injected with onabotulinumtoxinA into the affected salivary gland or residual salivary tissue. 
Results: We present nine cases of parotid gland pathology successfully managed with BTx. Five patients were managed for post-parotidectomy fistulas, with four reporting complete resolution. Four patients were managed for recurrent parotitis, all reporting reduced symptoms. In those prescribed regular antibiotics, there was a reduction in use after BTx injection. Two patients had mild dry eyes after the injections, with no other side effects. 
Conclusions: We advocate for the early use of BTx in the management of post-parotidectomy fistulas and recurrent parotitis based on available data and our nine cases.},
	issn = {2616-2792},	url = {https://www.theajo.com/article/view/3993}
}