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

Parotid duct stenosis: interventional radiology to the rescue

Annals of the Royal College of Surgeons of England, 1995

Recurrent parotid sialadenitis due to isolated parotid duct stenosis is an uncommon condition and poses a difficult management problem. Conventional surgical practice carries with it a potentially high morbidity for what is a benign condition. We present three cases where parotid duct stenosis has been treated by balloon dilatation and propose that this is a safe, quick and repeatable method for dealing with this problem.

Candida: case report of an uncommon presentation of the common culprit

Journal of the Irish Dental Association

Candida albicans is present as a normal commensal fungus of the oral cavity in 35-69% of the healthy adult population. Infection is caused by an overgrowth of these normal fungi, which can be precipitated by systemic or local host factors. Thrush is a well-known and recognisable presentation of oral candidiasis; however, it is prudent that clinicians be aware of other less common presentations. Here we describe a case involving soft tissue changes in the oral cavity that proved to be a diagnostic challenge for clinicians across various disciplines. This case aims to highlight the diagnostic dilemma that can face clinicians when diagnosing oral lesions and the benefits of a multidisciplinary approach. Candidiasis may not always present as a white coating on the mucosa, but can also cause soft tissue changes of the tongue. The patient’s medical history should be thoroughly inspected to identify any potential contributing factors.

Foreign bodies of submandibular gland and Wharton’s duct: a review of literature

International Journal of Otorhinolaryngology and Head and Neck Surgery

Foreign bodies of submandibular duct are rarely but consistently reported in literature. They usually present as obstructive submandibular sialadenitis. The diagnosis can be challenging because of rarity of such an event, and inability of traditional diagnostic methods to detect the foreign body. We sought to assemble the previous published literature to delineate the presentation, investigation and management of submandibular gland foreign bodies. We performed a comprehensive systematic literature review of PubMed, and Google Scholar, databases from 1960 to 2019, and analyzed the case reports and research articles proclaiming detection of foreign body in the submandibular gland or its duct. We also included a case found in our hospital in the review. A total of 28 articles full filled our criteria. The earliest article found was from year 1962 and latest in 2019, amounting to 28 research articles on this topic in last 58 years. The age ranged from 9 years to 78 years, with average ...

Catheterization of post infection parotid duct sialocele with paediatric Ryles tube: A case report

Journal of Oral Biology and Craniofacial Research, 2017

Sialocele is a cavity filled with saliva, usually as a result of trauma, complication of surgery, sialolithiasis or bacterial infection residing inside the duct. Many cases of parotid sialocele have been reported in the literature, but only very few cases of parotid duct sialocele have been reported. We report a case of an unusual facial swelling over buccal mucosa at the route of Stenson's duct with poor oral hygiene, a case of parotid duct sialocele with secondary infection and describe its diagnosis and management.

Parotid Duct Cyst- Our Experience (In a Rural Medical College)

Journal of Evolution of Medical and Dental Sciences

BACKGROUND Parotid duct sialocele is a rare entity. Patients presented with mostly painless, cystic swelling over the cheek encroaching to the parotid region. Diagnosis was done by FNAC and MR sialogram which revealed that the swellings were due to parotid duct sialocele. That swelling was due to obstruction to the parotid duct by sialolithiasis, trauma, etc. Some of those patients had h/o chewing of areca nuts and betel quid. We found in those cases oral submucosal fibrosis, but we did not find such association in any literature. Many treatment options available for e.g. repeated aspirations, marsupialisation etc. but mostly all were associated with recurrence. We found in literature that the foolproof treatment is superficial parotidectomy. In our cases also superficial parotidectomy was the best treatment option having no recurrence. MATERIALS AND METHODS We report twenty-two cases who presented with parotid duct sialocele to our OPD at BSMC, Bankura. We examined the cases and diagnosed those cases by several methods. We instituted several treatment options. RESULTS Initially we did aspiration in all patients with parotid duct sialocele, but out of the twenty-two cases recurrence occurred in twenty cases. The patients were disease free for 3-4 weeks. Next, we did repeated aspirations where seventeen cases came with recurrence. Then we opted for marsupialisation with biopsy. These marsupialised patients came back with recurrence after 4-5 months. Out of these seventeen cases, twelve cases were of oral submucosal fibrosis. All the cases with marsupialisation suffered from recurrence who ultimately undergwent superficial parotidectomy with no recurrence for 2-8 yrs. CONCLUSION Oral submucosal fibrosis may be one of causes for parotid duct sialocele which is seen in chronic betel quid and areca nuts chewers. Superficial parotidectomy is the definite treatment for parotid sialocele.