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Clinics and Practice
Volume 7
Issue 4
10.4081/cp.2017.985
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Cervical Fistula Caused by Submandibular Sialolithiasis

by
Takeshi Kusunoki
1,*,
Hirotomo Homma
1,
Yoshinobu Kidokoro
1,
Aya Yanai
1,
Satoshi Hara
1,
Yuko Kobayashi
1,
Miri To
1,
Ryo Wada
2 and
Katsuhisa Ikeda
3
1
Department of Otorhinolaryngology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
2
Department of Pathology, Juntendo University of Medicine, Shizuoka Hospital, Shizuoka, Japan
3
Department of Otorhinolaryngology, Juntendo University of Medicine, Faculty of Medicine, Shizuoka, Japan
*
Author to whom correspondence should be addressed.
Clin. Pract. 2017, 7(4), 985; https://doi.org/10.4081/cp.2017.985
Submission received: 6 June 2017 / Revised: 25 August 2017 / Accepted: 15 September 2017 / Published: 9 October 2017

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 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.
Keywords: submandibular sialolithiasis; cervical fistula; neck abscess; diabetes; external skin incision approach submandibular sialolithiasis; cervical fistula; neck abscess; diabetes; external skin incision approach

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MDPI and ACS Style

Kusunoki, T.; Homma, H.; Kidokoro, Y.; Yanai, A.; Hara, S.; Kobayashi, Y.; To, M.; Wada, R.; Ikeda, K. Cervical Fistula Caused by Submandibular Sialolithiasis. Clin. Pract. 2017, 7, 985. https://doi.org/10.4081/cp.2017.985

AMA Style

Kusunoki T, Homma H, Kidokoro Y, Yanai A, Hara S, Kobayashi Y, To M, Wada R, Ikeda K. Cervical Fistula Caused by Submandibular Sialolithiasis. Clinics and Practice. 2017; 7(4):985. https://doi.org/10.4081/cp.2017.985

Chicago/Turabian Style

Kusunoki, Takeshi, Hirotomo Homma, Yoshinobu Kidokoro, Aya Yanai, Satoshi Hara, Yuko Kobayashi, Miri To, Ryo Wada, and Katsuhisa Ikeda. 2017. "Cervical Fistula Caused by Submandibular Sialolithiasis" Clinics and Practice 7, no. 4: 985. https://doi.org/10.4081/cp.2017.985

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