Salivary Fistula with a Calculus!!

Rangappa, Vidya Bhushan; Soumya,; Sreenivas, Vijay

doi:10.5005/jp-journals-10001-1191

Cited by 5 publications

(7 citation statements)

References 9 publications

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“…A total of 18 cases (17 cases from 16 published articles and an illustrative case) were included in the current review (►Tables 1 and 2). [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The age ranged from 6 to 72 years. The exact numerical age was not mentioned in two cases Clinical symptoms/signs were present in the following frequencies: Discharge from fistula opening (66.7%), swelling/mass in the submandibular region (55.6%), tender/pain over the submandibular region (44.4%), and throat lump (5.6%).…”

Section: Resultsmentioning

confidence: 99%

“…It is associated with various acquired etiologies, including calculi, foreign body, trauma, neoplasm, sialadenitis, or a congenital process linked to the branchial apparatus. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] It can be an external sialo-cutaneous fistula or an internal sialo-oral fistula. The external opening is either cutaneous or subcutaneous.…”

Section: Discussionmentioning

confidence: 99%

“…Various etiologies have been attributed to SGF, including both congenital and acquired. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] The clinical manifestation of SGF varies and is influenced by the etiology of the disease, making it tough for clinicians to diagnose it clini-cally. Furthermore, the site of the fistula opening has been shown to have an effect on the clinical features.…”

Section: Introductionmentioning

confidence: 99%

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Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review

Dokania,

Ibrar,

Vishwakarma

2023

Int Arch Otorhinolaryngol

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Introduction Submandibular gland fistula (SGF) is a rare subset of salivary gland fistulas. It is seldom tough to diagnose them prior to surgical exploration, and it is often clinically confused with close differentials. An early diagnosis based on pertinent clinical features and focused radiological findings can be pivotal in optimal management and help prevent recurrence and avoid unnecessary investigations/interventions. Objective To review articles that discuss SGF and provide vital etiological, clinical, and imaging features of this rare entity that can aid in early clinical diagnosis. Data synthesis An extensive review involving PubMed and Google Scholar and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Conclusion Submandibular gland fistula is a rare entity. It can be confused with close differentials, including branchial fistulas, if not thoroughly examined. Discharge from fistulae along with submandibular pain/tenderness and/or swelling are important diagnostic clues. A history of trauma, nodule at the site of discharge, prior submandibular disease/calculi, or discharge aggravated with food further increases a clinical suspicion. Optimal radiological investigation looking for calculi/foreign body and delineating the fistula tract is vital to affirm a diagnosis. Gland with fistula excision is a commonly advocated treatment of choice with no reports of recurrence, although conservative management and gland preserving surgery have also reported a favorable prognosis.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review

Dokania,

Ibrar,

Vishwakarma

2023

Int Arch Otorhinolaryngol

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“…26 Sialo-cutaneous fistula. [4][5][6][11][12][13][15][16][17][19][20][21]23,24 Sialo-pharyngeal fistula (synonym: sialoparapharyngeal fistula). 27 Sialo-oro-cutaneous fistula.…”

Section: Discussionunclassified

November’s 2021 Full Issue PDF

2021

J. Diagn. Treat. Oral Maxillofac. Pathol.

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“…of patientsNo. of stonesAge, ySialolith dimensions, cmGreatest dimension, cmFistulaImaging modalityJayachandran [15]2011Case report11522.6 × 2.1 × 2.02.6Sialo-oro-cutaneousRadiography, CT, MRIDrage [9]2004Case series3352.322.0SialocutaneousCase 1—CT, Case 2—radiography, Case 3—sialogramKurtoglu [16]2015Case report11522.5 × 0.8 × 0.62.5Sialo-oralNone describedRauso [17]2012Case report11565.65.6Sialo-oralNone describedSingh [18]2015Case report11531.0 × 1.01.0SialocutaneousFistulography, CTRangappa [19]2014Case report11551.0 × 1.01.0SialocutaneousUltrasound, radiographySutay [20]2003Case report11223.7 × 0.73.7Sialo-oralRadiographyAlmasri [21]2005Case report11702.3 × 1.72.3SialocutaneousRadiography, CTKasat [6]2012...…”

Section: Discussionmentioning

confidence: 99%

Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith

Panuganti

Baldassarre

Bykowski

et al. 2017

Radiology Case Reports

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Sialolithiasis is a common salivary pathology, suggested to affect over 1% of the population by postmortem studies. An uncommon complication of sialadenitis and sialolithiasis is the formation of fistulous tracts to other cervicofacial compartments. Submandibular gland sialocutaneous and sialo-oral fistulae have been sparsely described, but a sialo-pharyngeal fistula manifesting as a tonsillolith has yet to be described. We present an unusual case of a 35-year-old male presenting with recalcitrant neck pain and a presumed tonsillolith in the background of chronic submandibular sialadenitis, subsequently demonstrating a salivary fistula through the parapharyngeal space. We offer a thorough review of the literature to highlight the possibility of migratory sialolithiasis and its complications.

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Salivary Fistula with a Calculus!!

Cited by 5 publications

References 9 publications

Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review

Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review

November’s 2021 Full Issue PDF

Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith

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