Insight in the Management of Traumatic Isolated Injury to Submandibular Gland: A Case Report
Joyce P. Sequeira
Department of Oral and Maxillofacial Surgery, Yenepoya Dental College and Hospital, Mangalore, Karnataka-575018, India.
Akshit Batra
*
Department of Oral and Maxillofacial Surgery, Yenepoya Dental College and Hospital, Mangalore, Karnataka-575018, India.
*Author to whom correspondence should be addressed.
Abstract
Rationale: Isolated submandibular gland injuries are infrequent and are mainly reported in the context of trauma.
Patient Concerns: A 32-year-old male patient presented to the ER with a history of self-fall following which there was a penetrating injury to the lower part of the right neck region.
Diagnosis: A diagnosis of soft tissue penetrating injury to the right submandibular gland was made, after a thorough patient history, vigilant clinical examination along with negative CT scan findings.
Intervention: A decision of wound debridement and exploration under local anesthesia was made, with layered closure being done. The postoperative period of the patient was managed with antibiotics, a course of oral glycopyrrolate, three times a day for 5 days, and pressure dressing to address the salivary leak.
Outcomes: The patient was followed up for one year without any evidence of recurrences.
Take-away Lessons: Presentation of isolated submandibular gland injury is unique but rare and should be diagnosed at the earliest to avoid any long-term complications.
Keywords: Submandibular gland injury, penetrating injury, soft tissue trauma, isolated injury