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Cervical fistula caused by submandibular sialolithiasis

Takeshi Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Satoshi Hara, Yuko Kobayashi, Miri To, Ryo Wada, Katsuhisa Ikeda
  • Takeshi Kusunoki
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan | ttkusunoki001@aol.com
  • Hirotomo Homma
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Yoshinobu Kidokoro
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Italy
  • Aya Yanai
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Satoshi Hara
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Yuko Kobayashi
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Miri To
    Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
  • Ryo Wada
    Department of Pathology, Juntendo University of Medicine, Shizuoka Hospital, Japan
  • Katsuhisa Ikeda
    Department of Otorhinolaryngology, Juntendo University of Medicine, Faculty of Medicine, Shizuoka, Japan

Abstract

In oto-rhino-laryngology, cases of submandibuillar sialolithiasis are common. Submandibular sialoadentis with sialolith may cause severe complications such as deep neck abscess and sepsis. We introduce a rare case of a cervical fistula with abscess caused by submandibular sialolith. The patient had diabetes. We performed drainage of the left submandibular gland that included a Wharton duct stone and abscess by an external skin incision approach. Submandibular sialoadentis due to sialolith would likely progress to neck abscess and the formation of a neck skin fistula; moreover, the condition can be worsen by the coexistence of diabetes. This neck abscess with skin fistula could have caused potentially fatal complications such a carotid artery rupture or sepsis. In such cases the infected source should be carefully removed as soon as possible.

Keywords

Submandibular sialolithiasis; cervical fistula; neck abscess; diabetes; external skin incision approach.

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Submitted: 2017-06-06 06:39:21
Published: 2017-10-09 12:17:44
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Copyright (c) 2017 Takeshi Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Satoshi Hara, Yuko Kobayashi, Miri To, Ryo Wada, Katsuhisa Ikeda

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