Congenital salivary fistula of an accessory parotid gland in Goldenhar syndrome.
Summary of "Congenital salivary fistula of an accessory parotid gland in Goldenhar syndrome."
Objectives: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.
Affiliation
Department of Oral and Maxillofacial Radiology, School and Hospital of Stomatology, Peking University, Beijing, China.
Journal Details
This article was published in the following journal.
Name: The Journal of laryngology and otology
ISSN: 1748-5460
Pages: 1-5
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/22032683
- DOI: http://dx.doi.org/10.1017/S0022215111002945
Medical and Biotech [MESH] Definitions
Adenoma, Pleomorphic
A benign, slow-growing tumor, most commonly of the salivary gland, occurring as a small, painless, firm nodule, usually of the parotid gland, but also found in any major or accessory salivary gland anywhere in the oral cavity. It is most often seen in women in the fifth decade. Histologically, the tumor presents a variety of cells: cuboidal, columnar, and squamous cells, showing all forms of epithelial growth. (Dorland, 27th ed)
Salivary Gland Fistula
A fistula between a salivary duct or gland and the cutaneous surface of the oral cavity.
Salivary Gland Calculi
Calculi occurring in a salivary gland. Most salivary gland calculi occur in the submandibular gland, but can also occur in the parotid gland and in the sublingual and minor salivary glands.
Salivary Glands
Glands that secrete SALIVA in the MOUTH. There are three pairs of salivary glands (PAROTID GLAND; SUBLINGUAL GLAND; SUBMANDIBULAR GLAND).
Carcinoma, Mucoepidermoid
A tumor of both low- and high-grade malignancy. The low-grade grow slowly, appear in any age group, and are readily cured by excision. The high-grade behave aggressively, widely infiltrate the salivary gland and produce lymph node and distant metastases. Mucoepidermoid carcinomas account for about 21% of the malignant tumors of the parotid gland and 10% of the sublingual gland. They are the most common malignant tumor of the parotid. (From DeVita Jr et al., Cancer: Principles & Practice of Oncology, 3d ed, p575; Holland et al., Cancer Medicine, 3d ed, p1240)
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