Treatment of Postparotidectomy Fistulae with Fibrin Glue

Zwaveling, Sander; Steenvoorde, Pascal; da Costa, Stephen Andrew

doi:10.14712/18059694.2017.112

Acta Medica > Archive > 2006, Vol. 49 > Issue 1 > Treatment of Postparotidectomy Fistulae…

Acta Med. 2006, 49: 67-69

https://doi.org/10.14712/18059694.2017.112

Treatment of Postparotidectomy Fistulae with Fibrin Glue

Sander Zwaveling^a, Pascal Steenvoorde^a,b, Stephen Andrew da Costa^a

^aRijnland Hospital, Department of Surgery, Leiderdorp, Netherlands
^bLeiden University Medical Center, Department of Surgery, Leiden, Netherlands

Received June 1, 2005
Accepted February 1, 2006

Although fistulae resulting from superficial parotidectomy represent a serious problem, there is still little consensus on the optimal treatment. Some suggest management by applying dressings, while others advise surgery. In recent years several other strategies have been proposed. In this manuscript, we present two cases of postparotidectomy fistulae treated by injection with fibrin tissue glue (Tissucol® Duo 500, Baxter AG, Vienna, Austria). Furthermore, a review of the literature is presented. In both patients the fistulae completely healed within months without complications. A literature search revealed that this is the first time postparotidectomy fistulae were treated this way. We conclude that postparotidectomy fistulae can be effectively treated with fibrin glue. Moreover, this treatment is simple, safe and has no side effects.