Dental sinus with parotid duct fistula: An unusual presentation

Injury to the parotid duct is commonly missed which may lead to a fistula subsequently. An external duct fistula is distressing to the patient because of continuous dribble of saliva during mastication. Management of established duct fistula is controversial with a variety of methods both conservati...

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Bibliographic Details
Main Authors: Shetty Naren, Pandey Ashok, Mokal Nitin
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2007-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2007;volume=40;issue=2;spage=213;epage=216;aulast=Shetty
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Summary:Injury to the parotid duct is commonly missed which may lead to a fistula subsequently. An external duct fistula is distressing to the patient because of continuous dribble of saliva during mastication. Management of established duct fistula is controversial with a variety of methods both conservative and operative being reported in the literature, each having varying degrees of success. Reconstruction of the duct is not a good option because of its modest results. Internal diversion of the opening is an innovative, simple method to correct this problem. We report the successful use of this technique in a case of distal parotid duct fistula associated with apical root abscess of maxillary molars with cutaneous sinus-an unusual presentation, with a brief review of the literature on the management of parotid fistula.
ISSN:0970-0358