1. Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith
- Author
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Bharat A. Panuganti, MD, Randall L. Baldassarre, MD, Julie Bykowski, MD, and Jacob Husseman, MD
- Subjects
Sialolithiasis ,Sialadenitis ,Salivary fistula ,Submandibular gland ,Medical physics. Medical radiology. Nuclear medicine ,R895-920 - Abstract
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.
- Published
- 2017
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