{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T03:08:10Z","timestamp":1790996890902,"version":"4.1.0"},"reference-count":9,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J R Army Med Corps"],"accepted":{"date-parts":[[2013,11,4]]},"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>Parotid fistula is a rare but very distressing sequelum of post-operative or traumatic injuries. The management of these injuries has been reported in the literature previously and techniques employed include pressure dressings, surgery and more recently botulinum toxin A (BTA) injections. We present a patient who developed a parotid fistula as a late complication of an extensive gunshot injury to the face with subsequent successful management with ultrasound-guided intraglandular injections of BTA. This case demonstrates that the BTA injection is an effective and safe method under ultrasound guidance and should considered as a first-line treatment option for the treatment of salivary fistulas.<\/jats:p>","DOI":"10.1136\/jramc-2013-000188","type":"journal-article","created":{"date-parts":[[2013,12,3]],"date-time":"2013-12-03T22:30:54Z","timestamp":1386109854000},"page":"64-66","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Ultrasound-guided botulinum toxin injection to treat a parotid fistula following gunshot injury"],"prefix":"10.1136","volume":"161","author":[{"given":"Gulcan","family":"Gok","sequence":"first","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Eastbourne, East Sussex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Michl","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Palacky University Olomouc, Olomouch, Czech Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M D","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Eastbourne District General Hospital, Eastbourne, East Sussex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D C","family":"Howlett","sequence":"additional","affiliation":[{"name":"Department of Radiology, Eastbourne District General Hospital, Eastbourne, East Sussex, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,12,3]]},"reference":[{"key":"2025081311013744000_161.1.64.1","first-page":"212","article-title":"Traumatic diseases of parotid gland and sequalae. 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