Gustatory otorrhoea: a rare case of congenital external ear salivary fistula

Zoysa, N De; Vasani, Sarju; Kaniyur, S; Frosh, Adam

doi:10.1017/s0022215109005726

Cited by 20 publications

(16 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The surgery was performed via a parotidectomy approach. Facial nerve monitoring was used intraoperatively, and the fistula was identified, ligated and divided using vicryl sutures [12].…”

Section: Discussionmentioning

confidence: 99%

Bilateral spontaneous salivary otorrhoea: Case report and a review of the literature

Rana

Rathore

Raj

et al. 2015

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…The surgery was performed via a parotidectomy approach. Facial nerve monitoring was used intraoperatively, and the fistula was identified, ligated and divided using vicryl sutures [12].…”

Section: Discussionmentioning

confidence: 99%

Bilateral spontaneous salivary otorrhoea: Case report and a review of the literature

Rana

Rathore

Raj

et al. 2015

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…Of the 14 pathologic cases of a persistent FH reported in the literature, 11 patients were female [4][5][6][7][8][9][10][11]13,[16][17][18] . The study results may explain why most patients with a persistent FH reported in the literature were female.…”

Section: Discussionmentioning

confidence: 99%

“…The persistent FH may result in TMJ herniation and salivary fistula formation [4][5][6][7][8][9][10][11]13,[16][17][18] . It is relevant in TMJ arthroscopy, because an arthroscope may penetrate the EAC by traversing the persistent FH 12 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The foramen of Huschke: age and gender specific features after childhood

Hashimoto

Ojiri

Kawai

2011

International Journal of Oral and Maxillofacial Surgery

View full text Add to dashboard Cite

“…7 Salivary otorrhea during mastication and resultant otologic complications have been previously reported. 8,9 In our 2 patients, this dysmorphic feature served as a site of chronic infection that tracked caudally to the neck, resulted in recurrent abscesses of the parotid and submandibular areas, and later caused fistulization that mimicked a type 2 first branchial cleft anomaly. The management of the lesion is dictated by the symptoms, and in our cases, we deemed it necessary to excise the fistulous tract and diseased salivary tissue through a cervical approach given the presence of a skin fistula and the history of recurring neck abscesses that had been previously incised and drained.…”

Section: Workmentioning

confidence: 89%

Persistent Foramen of Huschke Mimicking a Branchial Cleft Anomaly

Silva¹,

Collins²

2012

Arch Otolaryngol Head Neck Surg

View full text Add to dashboard Cite

A persistent foramen of Huschke, or foramen tympanicum, results from the defective ossification of the anteroinferior aspect of the tympanic portion of the temporal bone. We describe 2 girls, aged 5 and 6 years, with histories of recurrent cervical abscesses, draining submandibular sinuses, and defective tympanic plates adjacent to the tympanic ring. Surgical resection of the fistulous tract extending from the submandibular triangle to the bony ear canal successfully controlled the symptoms. REPORT OF CASES CASE 1A 5-year-old girl presented to a tertiary care pediatric otolaryngology outpatient clinic with a history of swelling in the anterior aspect of the left side of her neck. She had the sudden onset of left submandibular swelling and erythema 5 weeks before presentation, which then developed into cutaneous drainage and improved after the administration of intravenous antibiotics at a different institution. Her medical history was remarkable for a tympanoplasty and mastoidectomy that had been performed on that same side 1 year earlier, with a diagnosis of chronic suppurative otitis media. On physical examination, she had a draining sinus that was surrounded by granulation tissue right above the hyoid but was afebrile and nontoxic. Computed tomography (CT) revealed a tract extending from the cervical skin up into the bony external auditory canal (EAC) through a dysmorphic anteroinferior wall (Figure 1). The patient was then taken to the operating suite, and the tract was resected through a superficial parotidectomy approach, with facial nerve identification and preservation. The tract extended into the styloid process, which was amputated and packed with a fat plug. Examination of the surgical specimen revealed a 3-cm-long fibrotic tract with acute and chronic inflammation. There were no complications or evidence of recurrence during the 1-year follow-up period. CASE 2A 6-year-old girl presented to the emergency department with the sudden onset of right submandibular swelling, tenderness, and erythema. Associated symptoms also included right-sided otalgia and otorrhea. Her medical history was notable for 2 previous procedures for excision of right submandibular cysts. On physical examination, she had a draining sinus approximately 1 cm below the right angle of the mandible as well as substantial otorrhea and granulation tissue occluding the ear canal. A CT of the neck with contrast showed significant inflammatory changes in the parotid gland, temporomandibular joint, and parapharyngeal space. A superficial parotid fluid collection was drained, and oral and ototopical antibiotic therapy was initiated. After the infection subsided, the results of magnetic resonance imaging confirmed the CT findings of a fistulous tract extending from the submandibular area into the medial aspect of the EAC through a dysmorphic styloid bone and an anteroinferior wall (Figure 2). The patient was also

show abstract

Gustatory otorrhoea: a rare case of congenital external ear salivary fistula

Cited by 20 publications

References 11 publications

Bilateral spontaneous salivary otorrhoea: Case report and a review of the literature

Bilateral spontaneous salivary otorrhoea: Case report and a review of the literature

The foramen of Huschke: age and gender specific features after childhood

Persistent Foramen of Huschke Mimicking a Branchial Cleft Anomaly

Contact Info

Product

Resources

About