Delayed Treatment of Parotid Sialocele: A Functional Approach and Review

The present report focused on 2 cases treated successfully with a delayed minimally invasive surgical approach and reviewed the available studies in which this method was used and their outcomes. The current data available suggest that the diversion of salivary flow into the oral cavity by cannulation of the distal portion of the parotid gland duct from the sialocele into the mouth, through the ostium or using a new controlled internal fistula creation, is a reliable, relatively simple, and effective procedure. It is available to the clinician when delayed treatment is needed, with low complication potential and great tolerability. The procedure allows a definite solution to the problem, avoiding undesirable outcomes, and preserves parotid gland functionality throughout the process of healing.