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Authors = Miri To

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2 pages, 609 KiB  
Case Report
Cervical Fistula Caused by Submandibular Sialolithiasis
by Takeshi Kusunoki, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Satoshi Hara, Yuko Kobayashi, Miri To, Ryo Wada and Katsuhisa Ikeda
Clin. Pract. 2017, 7(4), 985; https://doi.org/10.4081/cp.2017.985 - 9 Oct 2017
Cited by 8 | Viewed by 903
Abstract
In oto-rhino-laryngology, cases of submandibuillar sialolithiasis are common. Submandibular sialoadentis with sialolith may cause severe complications such as deep neck abscess and sepsis. We introduce a rare case of a cervical fistula with abscess caused by submandibular sialolith. The patient had diabetes. We [...] Read more.
In oto-rhino-laryngology, cases of submandibuillar sialolithiasis are common. Submandibular sialoadentis with sialolith may cause severe complications such as deep neck abscess and sepsis. We introduce a rare case of a cervical fistula with abscess caused by submandibular sialolith. The patient had diabetes. We performed drainage of the left submandibular gland that included a Wharton duct stone and abscess by an external skin incision approach. Submandibular sialoadentis due to sialolith would likely progress to neck abscess and the formation of a neck skin fistula; moreover, the condition can be worsen by the coexistence of diabetes. This neck abscess with skin fistula could have caused potentially fatal complications such a carotid artery rupture or sepsis. In such cases the infected source should be carefully removed as soon as possible. Full article
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