|
Stensen's duct (Parotid) lacerations occur most often during facial trauma especially from sharp instruments. The treatment of such lacerations of the duct involves identification of the distal and proximal parts. Following the identification there is a need for insertion of a miniature tube before suturing the duct.
In the past many types of catheter drains were used. The Parotid duct drain (PDD) is a specially designed drain/tube which fits to the diameter of the Parotid duct. It enables the user to insert the drain both from the laceration region, and through the Stensen's duct orifice.
Due to the soft nature of this drain, and its flexibility, it is easy to use and the patient does not suffer from the rigidity of other types of drains/catheters.
Another advantage of the PDD is the possibility to use it in minimal invasive procedures involving opening of the Parotid duct, especially for the removal of stones through the external insertion.
The PPD can remain up to 28 days.
Sialo Polymeric Drain, Type III, Item # 11120
- Open the Parotid Duct Drain (PDD) under sterile conditions.
- Important: The PDD can be used both extra oral and intra oral. In the case that the duct is damaged or lacerated the PDD can be extra and intra oral together.
How to place the PDD intra orally (via the mouth)
A. Locate the orifice of the salivary duct.
B. Make a 2mm dilatation of the duct .
C. Place and push the PDD to a depth of 1cm with the help of the introducer.
D. Pull the salivary duct with a-traumatic forceps and continue to push the PDD to the required place.
E. Once you have placed the PDD check both physically and with x-ray that the PDD is stable. If there are kinks, simply pull from both sides until it is straight.
F. Cut off the rest of the PDD that is not required.
How to place the PDD extra orally (from the cheek)
A. Locate the orifice of the salivary duct.
B. Make a 2mm dilatation of the duct.
C. Push the PDD with the help of the introducer to the required place.
D. Once you have placed the PDD check both physically and with x-ray that the PDD is stable. If there are kinks, simply pull from both sides until it is straight.
E. Cut off the rest of the PDD that is not required.
How to place the PDD both extra orally and intra orally in the case of damaged/torn duct
A. Locate the orifice of the salivary duct.
B. Make a 2mm dilatation of the duct from both sides and cut off the funnel.
C. Place and push the PDD to a depth of 1cm with the help of the introducer.
D. Start to introduce the PDD on the other side.
E. Once you have placed the PDD check both physically and with x-ray that the PDD is stable. If there are kinks, simply pull from both sides until it is straight. Suture the duct were the damage/tear is.
F. Cut off the rest of the PDD that is not required. |
