Cervical fistula caused by submandibular sialolithiasis

  • Takeshi Kusunoki | ttkusunoki001@aol.com Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan.
  • 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.

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Author Biography

Takeshi Kusunoki, Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka
Department of Otorhinolaryngology  Professor
Published
2017-10-09
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Case Reports
Keywords:
Submandibular sialolithiasis, cervical fistula, neck abscess, diabetes, external skin incision approach.
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How to Cite
Kusunoki, T., Homma, H., Kidokoro, Y., Yanai, A., Hara, S., Kobayashi, Y., To, M., Wada, R., & Ikeda, K. (2017). Cervical fistula caused by submandibular sialolithiasis. Clinics and Practice, 7(4). https://doi.org/10.4081/cp.2017.985

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