Monday, May 11, 2026

return to: Sialograms and Sialography

  • 2023 July Facelift ('deep plane')
    • Left side: Immediately after had "saliva pouring out hole in neck'
    • Drain in place but saliva coming out different spot; with multiple aspirations in postop period
    • Given drying agent 'probably glycopyrrolate' and recalls having had botulinum injection
  • 2025 Dec Videotelemed Visit
    • Continued episodic pain and swelling left parotid tail 5 to 6 times per year
      • Episodes last 1 to 4 days, visible to husband - Never treated with antibiotics
      • Gets 'yucky taste to saliva'
      • Pain at its worst (7-8/10) with swelling short term after surgery required pain meds
      • Pain in past year at its worst 2/10
  • 2026 April CT
    • Report: Mild asymmetric enhancement of the left parotid gland compared to the right. No evidence of abnormal mass or sialolith.
  • 2026 May Sialogram
    • Area of extravasation that appears to originate from the bifurcation of the main parotid duct into the secondary ducts.
    • Areas of mild intraglandular ductal irregularity noted, this is particularly noted inferiorly near the tail
    • Last episode of swelling Dec 2025; still occasional twinge left parotid tail but no further swelling