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Tympanic neurectomy in the management of parotid sialectasis

Published online by Cambridge University Press:  29 June 2007

A. S. Daud  and
A. L. Pahor
A. S. Daud
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
A. L. Pahor*
Affiliation:
Department of Otorhinolaryngology, City Hospital NHS Trust, Dudley Road, Birmingham, UK.
*
Ahmes L. Pahor, Consultant ENT Surgeon, ENT Department, City Hospital NHS Trust, Dudley Road, Birmingham B18 70H.
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Abstract

The term sialectasis refers to dilatation of the salivary ducts. Parotid sialectasis presents itself as recurrent painful swellings during mastication and/or swallowing. Our results with 10 cases treated by tympanic neurectomy over a period of nine years, from 1983 to 1992, were encouraging as seven cases had improvement of their symptoms.

Anatomy of the tympanic plexus and surgical procedure are discussed as well as a review of the literature.

We recommend extensive interruption of the secreto-motor nerve fibres by thoroughly drilling into the hypotympanum and below the basal turn of the cochlea. We also recommend that this be carried out by an experienced otologist to avoid possible complications.

Keywords

Salivary gland diseasesParotid glandEar, middleNeurectomy, tympanic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 12 , December 1995 , pp. 1155 - 1158
Copyright
Copyright © JLO (1984) Limited 1995

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