Answer:
If the gland is lacerated without a major duct laceration:
1) routine management of the soft tissue
2) drain left in place
If there is delayed fluid accumulation, the fluid may be treated by:
Intermittent aspiration, compression, creation of an area for dependent draiange, or reinsertion of a vacuum-aspirated drain.
If duct is injured:
1) place lacrimal dilator in gland, then silastic tube, identify leak and repair with fine suture
2) If unable to repair then:
a) Ligate which produces a lot of temporary swelling and has the possibilty of late chronic infection
b) Divert proximal stump into mouth which is difficult.
c) Radiate the gland to destroy function.