Cervical fistula caused by submandibular sialolithiasis

Main Article Content

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

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.

Downloads month by month

Downloads

Download data is not yet available.

Article Details

Author Biography

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

Department of Otorhinolaryngology  Professor

Most read articles by the same author(s)