Stensen’s duct obstruction by foreign body and subsequent candidal infection of the parotid gland

2003 ◽  
Vol 117 (8) ◽  
pp. 662-665 ◽  
Author(s):  
Panagiotis K. Stefanopoulos ◽  
Demetrios Th. Karakassis ◽  
Aikaterini Triantafyllidou

A case of chronic inflammation complicated by Candida infection of the parotid gland in a 50-year-old woman is presented. This eventually proved to be caused by Stensen’s duct obstruction due to an unusual radiolucent foreign body. The process that led to the proper diagnosis is presented and the importance of surgical exploration of the main duct in cases suggesting distal duct obstruction is stressed.

2016 ◽  
Vol 130 (5) ◽  
pp. 501-505 ◽  
Author(s):  
P Capaccio ◽  
M Gaffuri ◽  
S Torretta ◽  
L Pignataro

AbstractBackground:A foreign body is a rare cause of parotid gland obstructive sialadenitis; intra-oral penetration via Stensen's duct is unusual. The relatively recent introduction of interventional sialendoscopy to treat obstructive sialadenitis has allowed surgeons to adopt a gland-sparing approach by means of miniaturised endoscopes and instruments. However, unusual anatomy or pathological conditions can give rise to a risk of intraductal rupture that may lead to a subsequent iatrogenic foreign body.Case report:This paper describes the case of a patient with a 4 mm stone engaged by a broken wire basket stuck in a secondary branch of Stensen's duct.Results:The iatrogenic foreign body was successfully retrieved by means of sialendoscopy-assisted transfacial surgery.Conclusion:This is the first reported case of an intraductal rupture of a miniaturised device during interventional sialendoscopy successfully resolved by means of combined endoscopy and external surgery. This proved to be an effective method of rescuing a foreign body stuck in Stensen's duct.


2015 ◽  
Vol 23 (3) ◽  
pp. 134-138
Author(s):  
Indranil Pal ◽  
Saumitra Kumar ◽  
Anindita Sinhababu ◽  
Kushal Chatterjee

Introduction:Sialectasis of parotid duct is an uncommon condition characterised by abnormal dilatation of a part or whole of the Stensen's duct. It may lead to recurrent parotid infections as well as a cause of concern for the patient. Superficial parotidectomy is the accepted surgical treatment for this condition. Case Report: A case of idiopathic dilatation of parotid duct is presented. It was treated by marsupialisation of the sialectatic segment.This procedure proved to be much simpler and safer than superficial parotidectomy whilst being equally effective. Conclusion: In cases of Stensen's duct sialectasis without any abnormality of the parotid gland, marsupialisation of the ectatic segment should be the treatment of choice.


BMJ ◽  
1957 ◽  
Vol 2 (5044) ◽  
pp. 591-591
Author(s):  
H. Bailey

1965 ◽  
Vol 81 (2) ◽  
pp. 194-198 ◽  
Author(s):  
J. J. CONLEY ◽  
R. M. OLESEN ◽  
R. M. RANKOW ◽  
A. J. SCHWARTZ ◽  
W. A. WEY

BMJ ◽  
1957 ◽  
Vol 2 (5040) ◽  
pp. 356-356
Author(s):  
D. H. Kinmont

1992 ◽  
Vol 106 (2) ◽  
pp. 178-179 ◽  
Author(s):  
J. J. Curtin ◽  
N. T. F. Ridley ◽  
V. L. Cumberworth ◽  
G. W. Glover

AbstractPneumoparotitis is a rare cause of parotid enlargement. It is due to a reflux of air through Stensen's duct into the acini of the parotid gland with subsequent dilatation. We report a case which followed a long history of autoinflation of the middle ears by the Valsalva manoeuvre. The plain radiographic, sialographic and ultrasound findings are presented.


2011 ◽  
Vol 126 (1) ◽  
pp. 103-107 ◽  
Author(s):  
Z Sun ◽  
L Sun ◽  
Z Zhang ◽  
X Ma

AbstractObjectives:We report two cases of congenital salivary fistula of an accessory parotid gland, and we discuss its occurrence in Goldenhar syndrome.Methods:Two teenagers complained of a congenital cheek fistula with constant salivary discharge. Computed tomography fistulography and sialography were performed. The diagnosis of Goldenhar syndrome was established based on clinical and imaging findings. Previously reported cases are reviewed and the clinical and radiological features summarised.Results:In these two patients, a salivary fistula of an accessory parotid gland was demonstrated on computed tomography fistulography, and did not communicate with Stensen's duct. Deformity of Stensen's duct and hypoplasia of the ipsilateral mandibular ramus were present. Tragal appendices have frequently been reported in such cases.Conclusion:A congenital cheek salivary fistula of an accessory parotid gland should be considered indicative of Goldenhar syndrome.


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