Cervical fistula caused by submandibular sialolithiasis

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Takeshi Kusunoki *
Hirotomo Homma
Yoshinobu Kidokoro
Aya Yanai
Satoshi Hara
Yuko Kobayashi
Miri To
Ryo Wada
Katsuhisa Ikeda
(*) Corresponding Author:
Takeshi Kusunoki | ttkusunoki001@aol.com


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.

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Author Biography

Takeshi Kusunoki, Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka

Department of Otorhinolaryngology  Professor

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