Accessory parotid gland with ectopic fistulous duct - Diagnosis by ultrasonography, digital fistulography, digital sialography and CT fistulography. A case report and review of current literature.

Authors

  • Chaitanya Dattatray Kulkarni
  • Shireesh Kumar Mittal
  • Vikas Katiyar
  • Ojaswi Pathak
  • Shashank Sood

DOI:

https://doi.org/10.3941/jrcr.v5i7.680

Keywords:

Accessory parotid gland, ectopic fistulous duct, congenital parotid fistula, pre-aural appendage

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. We present the imaging findings in a case of right accessory parotid gland with ectopic fistulous duct associated with bilateral pre-aural appendages. Diagnostic workup was done by ultrasonography, sono-fistulography, contrast digital fistulography, contrast digital sialography and computed tomography fistulography. Imaging showed a right accessory parotid gland lying anterior to and separate from the main parotid gland draining via an ectopic fistulous duct opening over the right cheek. The child was managed surgically by internalisation of the duct to open into the buccal mucosa and excision of pre-aural appendages.

Author Biographies

Chaitanya Dattatray Kulkarni

Department of Radiodiagnosis

Resident

Shireesh Kumar Mittal

Department of Radiodiagnosis

Head of Department

 

Vikas Katiyar

Department of Surgery.

Lecturer

Ojaswi Pathak

Department of Radiodiagnosis

Resident

Shashank Sood

Department of Radiodiagnosis

Resident

 

Published

2011-07-04

Issue

Section

Pediatric Radiology