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Congenital salivary fistula of accessory parotid gland: imaging findings

Published online by Cambridge University Press:  07 January 2008

A Gadodia ,
A Seith ,
R Sharma  and
A Thakar
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Abstract

We report the imaging findings in a rare case of an accessory parotid gland fistula.

Material and methods:

An eight-year-old boy was presented with complaints of serous discharge from his left cheek since birth. As part of the radiological investigation, magnetic resonance imaging, computed tomography sialography with fistulography, and digital sialography with fistulography were performed.

Results:

Magnetic resonance imaging demonstrated the exact location of an accessory parotid gland but failed to demonstrate the accessory duct. The presence of an accessory gland was well delineated on computed tomography fistulography and computed tomography sialography. Fistulography revealed a small accessory parotid duct and gland. No communication between the ductal systems of both glands was demonstrated.

Conclusions:

In such cases, pre-operative imaging (with sialography, magnetic resonance sialography and computed tomography sialography with fistulography) is helpful for exact delineation of the ductal anatomy. To the best of our knowledge, only four previous cases of congenital accessory parotid gland fistula have been reported in the English literature.

Keywords

Parotid GlandSialographyComputed TomographyFistula
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 3 , March 2008 , e11
Copyright
Copyright © JLO (1984) Limited 2008

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References

1 Yamasaki, H, Tashiro, H, Watanabe, T. Congenital parotid gland fistula. Int J Oral Maxillofac Surg 1986;15:492–4CrossRefGoogle ScholarPubMed
2 Zhao, K, Wang, LM, Qi, DY. Congenital extraoral fistula from an auxiliary parotid gland. Oral Maxillofac Surg 1992;50:752–3Google ScholarPubMed
3 Gilbert, PM. Congenital external fistulae of the parotid duct. Br J Plast Surg 1987;40:99–101CrossRefGoogle ScholarPubMed
4 Moon, WK, Han, MH, Kim, IO, Sung, MW, Chang, KH, Choo, SW et al. Congenital fistula from ectopic accessory parotid gland: diagnosis with CT sialography and CT fistulography. Am J Neuroradiol 1995;16(suppl):997–9Google ScholarPubMed
5 Hemenway, WG, Bergstrom, L. Parotid duct fistula: a review. South Med J 1971;64:912–18CrossRefGoogle ScholarPubMed
6 Rothner, AD. Aberrant salivary fistulas. J Pediatr Surg 1973;8:931–3CrossRefGoogle ScholarPubMed
7 Uekusa, Y, Matsumoto, K, Ohmae, M, Sakuda, M. Congenital submental salivary fistula. Int J Oral Maxillofac Surg 1999;28:400CrossRefGoogle ScholarPubMed
8 Tasar, M, Yetiser, S. Congenital salivary fistula in the external auditory canal associated with chronic sialoadenitis and parotid cyst. J Oral Maxillofac Surg 2003;61:1101–4CrossRefGoogle ScholarPubMed
9 Grundfast, KM, Barber, CS, Kubicki, SP. Congenital aberrantly located cutaneous Stensen's duct orifice – a newly described anomaly. Int J Pediatr Otorhinolaryngol 1987;14:197–202CrossRefGoogle ScholarPubMed
10 Frommer, J. The human accessory parotid gland: its incidence, nature, and significance. Oral Surg Oral Med Oral Pathol 1977;43:671–6CrossRefGoogle Scholar
11 Lewkowicz, A, Levy, Y, Zeltser, R, Zagury, A, Nahlieli, O. Accessory parotid gland masses. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:610–12CrossRefGoogle ScholarPubMed
12 Kalinowski, M, Heverhagen, JT, Rehberg, E, Klose, KJ, Wagner, HJ. Comparative study of MR sialography and digital subtraction: sialography for benign salivary gland disorders. Am J Neuroradiol 2002;23:1485–92Google ScholarPubMed
13 Madani, G, Beale, T. Inflammatory conditions of the salivary glands. Semin Ultrasound CT MR 2006;27:440–51CrossRefGoogle ScholarPubMed