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 27-year-old male was treated with ORIF for right subcondylar fracture via retromandibular approach. Again discharge of colorless, odorless watery fluid from right parotid region was noticed after second postoperative day, Diagnosis of parotid fistula was made and treated with hypertonic saline injections.\nWarm hypertonic saline (60°C) was injected after flushing with Betadine followed by pressure dressing and antisialagogue drugs were given for 5 days. On the fifth day of this course the fistulous tract healed spontaneously and there were no associated complications. Patient is on continuous follow-up since 3 months and there are no complications reported till date [].