Introduction: Penetrating injuries to the cheek can lead to significant complications due to intricate structures that lie within it. Multiple methods were described in the literature for diagnosis and treatment of parotid injuries.

Methods: During the years 2009–2013 12 cases ages 6 months to 66 years of cheek lacerations with parotid duct and gland trauma were treated. The diagnostic methods that we used in all cases included combination of CT, CBCT and sialography imaging. Repair methods included direct anastomosis under endoscopic visualization and active drains. All participants have been observed for up to 1 year following procedures.

Results: All patients gained complete salivary function and no salivary fistula of sialocele were observed.

Conclusions: A new innovative technique is described for accurate diagnosis and complete repair of parotid trauma.