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.

Downloads

Download data is not yet available.

Author Biography

Takeshi Kusunoki, Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka
Department of Otorhinolaryngology  Professor
Published
2017-10-09
Section
Case Reports
Keywords:
Submandibular sialolithiasis, cervical fistula, neck abscess, diabetes, external skin incision approach.
Statistics
Abstract views: 459

PDF: 252
HTML: 94
Share it

PlumX Metrics

PlumX Metrics provide insights into the ways people interact with individual pieces of research output (articles, conference proceedings, book chapters, and many more) in the online environment. Examples include, when research is mentioned in the news or is tweeted about. Collectively known as PlumX Metrics, these metrics are divided into five categories to help make sense of the huge amounts of data involved and to enable analysis by comparing like with like.

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

Most read articles by the same author(s)