Abstract
Congenital parotid salivary fistulas are unusual entities that can arise from accessory parotid glands or, even more infrequently, from normal parotid glands via an aberrant Stensen's duct. A unique case of a congenital parotid salivary fistula presented in a four-week-old infant as polycystic swelling of the buccal region, with cyst contents draining to a cutaneous pit near the oral commissure. This patient offered an initial diagnostic challenge until it became evident that the drainage represented a salivary fistula. The case is used here to highlight the overlapping clinical and pathologic features shared between type I branchial cleft anomalies and congenital salivary cysts. This case is the second report of buccal salivary cysts in structural association with a congenital parotid salivary fistula and the first such case in which a normal Stensen's duct orifice has been preserved.
Original language | English |
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Pages (from-to) | 301-305 |
Number of pages | 5 |
Journal | International Journal of Pediatric Otorhinolaryngology Extra |
Volume | 1 |
Issue number | 4 |
DOIs | |
State | Published - Dec 2006 |
Keywords
- Branchial cleft cyst
- Buccal cyst
- CT sialography
- Congenital malformation
- Parotid duct malformation
- Parotid fistula
- Salivary cyst
- Salivary fistula