Parotid and submandibular cysts
Last reviewed: 23.04.2024
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[Symptoms of the cyst of the parotid and submandibular jelly
In the region of the parotid or submandibular salivary glands there appears a soft, painless swelling, which slowly increases, reaching a large size and disrupting the configuration of the face. The skin above it in color does not change and is freely assembled into a crease. When palpation is defined soft-tissue formation of round or oval shape, elastic consistency with the presence of a symptom of fluctuations. In the formation point, a cloudy and viscous liquid is obtained, sometimes with mucus. After puncture, the formation disappears, but later appears again. The sialogram of the affected gland determines the defect of its filling and the displacement of the ducts.
Treatment
Treatment of the cyst of the parotid and submandibular glands is surgical. The parotid cyst is usually removed along with the adjacent parenchymal tissue.
As a palliative method, you can use periodic suction of the contents of the parotid cyst. In this case, the following procedure is used: after the suction of the contents of the cyst, a hypertonic solution is introduced into its cavity in an amount of 2 ml less than the aspirated solution. After 15-20 minutes, the hypertensive solution is sucked off, after which a pressure bandage is applied to the gland. Usually 2-3 abscesses and the introduction of hypertonic solution are enough for the course. Dynamic observation showed that for 5 years there was no relapse.
In some patients, the method of cauterization of the cyst shell can be used: after folding the skin-fat flap, the outer wall of the cyst is excised according to Kovtunovich. Further in its cavity a tampon, moistened with 5% iodine tincture, is introduced, which is stored there for 5-10 minutes. Then the swab is removed and the cysts to be cut off are peeled off, like the orange peel. The iron is sutured tightly, the flap is put in place and sutured. Dynamic monitoring of patients for more than 3 years shows no recurrence of the cyst.
The cyst of the submandibular gland is removed along with it.