Abstract: Objective To explore the diagnosis and treatment for acute injuries of parotid and facial nerve. Methods From June 2012 to June 2013, 21 cases with parotid and facial nerve injury were performed actively emergency treatment. After sufficient preoperative preparation, the parotid gland and facial nerves were actively treated. Injury in parotid gland, parotid duct, or facial nerve were differently treated. Parotid gland ruptures were repaired instantly, and the parotid duct and facial nerve were anastomosed instantly. Results 93% of the patients with parotid gland and parotid duct injury were completely healed, while the other 7% cases had parotid gland fistula. All of the 7% patients were cured after giving anticholinergics and pressure dressing. 66% of the patients with facial nerve injury were completely cured, the other 24%cases were partly cured, and remained 10% cases were not cured. Conclusion Strict examination should be given to the patients with acute injuries of parotid gland and facial nerve, then the diagnosis and treatment could be given instantly.

Key words: Parotid gland, Parotid duct, Facial nerve, Injury