Facial wounds are frequently associated with bone fractures and multiple tr
auma; however, disruption of the parotid gland or Stensen's duct is rare an
d is often associated with Facial nerve palsy. Lesions are often undiagnose
d on first assessment of the multiple trauma patient. If microsurgical repa
ir of Stensen's duct provides good fuctional results, ignoring such lesions
often leads to later complications such as fistulae and sialocoeles. Altho
ugh simple ligation of Stensen's duct has been reported to give satisfactor
y results, the authors prefer a more anatomic reconstruction of this struct
ure whenever possible. A case of Stensen's duct microsurgical repair using
a vein graft are reported.