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Case Reports
. 2014 Jul-Dec;5(2):236-9.
doi: 10.4103/0975-5950.154846.

Accessory parotid gland with ectopic fistulous duct - Surgical view: A case report and review of current literature

G D Yadav  1 , Anju Yadav  1 , Jatin Soni  1 , Ghisulal Chaudhary  1
Affiliations
Case Reports

Accessory parotid gland with ectopic fistulous duct - Surgical view: A case report and review of current literature

G D Yadav et al. Natl J Maxillofac Surg. 2014 Jul-Dec.

Abstract

Accessory parotid glands are a common clinical occurrence and usually drain into the main Stenson's duct by small ductules and thereby, into the buccal cavity. Presence of an accessory parotid gland with an ectopic fistulous duct is a rare occurrence. Clinical findings, imaging studies, biochemical tests, histopathological examination are needed for appropriate surgical management. It is extremely rare case with ectopic fistulous duct in an accessory parotid gland managed surgically by internalization of the duct to open into the buccal mucosa and excision of pre-aural appendages. Further to this, we give a comprehensive review of literature on accessory parotid gland and duct anomalies.

Keywords: Accessory parotid gland; congenital parotid fistula; ectopic fistulous duct; pre-aural appendage.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
10-year-old male child with right accessory parotid gland with ectopic fistulous duct. Clinical photographs showing the external opening of the fistulous duct (a) (black arrow). Associated observations were pre-aural appendages (black arrowheads), two on right side (a) and one on the left side (b)
Figure 2
Figure 2
Plain image (a and b) demonstrates the accessory parotid gland (curved arrow), lateral to the mandible, anterior to the masseter (^) and separate from the main parotid gland (*). Contrast computed tomography fistulography demonstrates increased attenuation in the fistulous duct (straight arrow) and in the accessory parotid gland (arrowhead)
Figure 3
Figure 3
Dissection of accessory parotid duct
Figure 4
Figure 4
Transposition of accessory duct into oral cavity
Figure 5
Figure 5
At the time of discharge from hospital
Figure 6
Figure 6
Post-operative sialogram showing patency of duct-the circled area is accessory gland
See this image and copyright information in PMC

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