Management of Maxillofacial Soft Tissue Trauma with Parotid Gland Exposure: Case Report

Abstract

Introduction: Soft tissue trauma in Oral and Maxillofacial cases occurs quite often in the Emergency Room at Hasan Sadikin Hospital, Bandung. Trauma that occurs to the facial area is very susceptible to causing problems, both aesthetic sensory and motor function problems in that area. The existence of important structures in the facial area, such as the parotid gland and the location of the Facial Nerve (N.VII) in the facial area, requires special attention in treating soft tissue trauma to the face. Emergency management aims to ensure appropriate action in treating wounds, preventing infection, and ensuring the presence or absence of gland damage, as well as involvement of N.VII damage. Management of soft tissue wounds in the facial area is carried out by suturing, pain management and administering antibiotics. Emergency management of soft tissue trauma must be carried out quickly and precisely to obtain maximum results and consider function and aesthetics. Case report: A 16 year old female came with complaints of bleeding from the face and ears due to a motorbike accident approximately 2 hours before entering the hospital. Physical examination revealed an asymmetrical face, a torn wound on the left cheek with the parotid gland exposed and otorrhea. The patient's intraoral examination was normal. Conclusion: In this paper we will report a case of trauma to the maxillofacial soft tissue with exposure of the parotid gland. It is hoped that this article will expand insight into how to examine damage to the parotid gland and examine the function of N.VII in soft tissue trauma to the facial area. Keywords: Facial Soft Tissue Trauma; Parotid Gland; Management, N.VII