A 32-year-old male patient presented with the complaints of watery discharge from a wound over the left parotid region for the past 8 months. The fistula had started 2 weeks after he had undergone superficial parotidectomy for pleomorphic adenoma. The patient was diagnosed as a case of postparotidectomy parotid fistula and initially treated conservatively with regular pressure dressing, anticholinergics, and antibiotics, but symptoms were not relieved. Subsequently, the patient had also developed features of Frey's syndrome 7 months after the surgery.\nThe patient was diagnosed with simultaneous parotid fistula and Frey's syndrome []. Forty units of BTA was injected subcutaneously in the parotid region. There were no complications such as facial nerve injury and facial artery or masseter muscle trauma. The parotid fistula got resolved within 4 days with complete closure of the fistulous opening and gustatory sweating (Frey's syndrome) ceased after 6 days []. There was no recurrence later, after a follow-up period of 1 year.
A 35-year-old male, carpenter by profession, reported to us following a RTA. He was diagnosed with a panfacial fracture which included a LeFort 3, ZMC, naso-orbital-ethmoid, bilateral condylar, and symphysis fractures [Figures and ]. The right subcondylar-ramus fracture was approached through a periangular incision. The left dislocated condyle was then reduced and fixed through a preauricular approach. This was followed by the symphysis fracture reduction and fixation through an intraoral vestibular approach. The midface was finally reduced and fixed. This was followed by a postoperative orthopantomogram for assessment [].