Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith

Radiology Case Reports

Julie Bykowski, MD¹  Randall L. Baldassarre, MD¹  Jacob Husseman, MD²  Bharat A. Panuganti, MD² 

[1] Department of Radiology, University of California - San Diego, San Diego, CA, USA;Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of California - San Diego, 200 W Arbor Drive 8895, San Diego, CA 92103, USA;

关键词: Sialolithiasis;    Sialadenitis;    Salivary fistula;    Submandibular gland;   

DOI  :  10.1016/j.radcr.2017.06.002

来源: DOAJ

【 摘 要 】

Sialolithiasis is a common salivary pathology, suggested to affect over 1% of the population by postmortem studies. An uncommon complication of sialadenitis and sialolithiasis is the formation of fistulous tracts to other cervicofacial compartments. Submandibular gland sialocutaneous and sialo-oral fistulae have been sparsely described, but a sialo-pharyngeal fistula manifesting as a tonsillolith has yet to be described. We present an unusual case of a 35-year-old male presenting with recalcitrant neck pain and a presumed tonsillolith in the background of chronic submandibular sialadenitis, subsequently demonstrating a salivary fistula through the parapharyngeal space. We offer a thorough review of the literature to highlight the possibility of migratory sialolithiasis and its complications.

【 授权许可】

Unknown