Continual sialadenitis because of the stone contained in the accent duct of submandibular gland.
Surg Radiol Anat. 2017 Oct;39(10):1165-1168
Authors: Binar M, Gokgoz MC, Aydin U, Yavan I, Karahatay S
PURPOSE: Sialolithiasis is the most typical explanation for persistent sialadenitis. On this case report, intraoperative discovering of an adjunct submandibular duct, obstructed with stone, originating from the identical gland close by the principle Warthon’s duct, is offered.
CASE REPORT: A 22-year-old male affected person, affected by eating-related ache and swelling in his left submandibular area, was identified with left sublandibular gland sialadenitis with radiologically manifested sialolithiasis, and gland excision was suggested. Surgical procedure was carried out underneath common anesthesia. When the total anatomical surroundings was delineated earlier than excision of the gland, we surprisingly encountered two submandibular ducts originating from ipsilateral gland, one in all them was obstructed with stone. After two ducts have been ligated, the gland with sialolith was excised. Based on histopathologic examination, the duct obstructed with stone was recognized because the accent duct and the opposite one was the principle Wharton’s duct. Postoperative days have been uneventful; no neurologic complication was noticed.
CONCLUSIONS: Otolaryngologists ought to pay attention to anatomic variations of the submandibular duct(s) to keep away from attainable problems, particularly intraoperatively, as a result of rutine preoperative radiologic preparation doesn’t embrace investigation of attainable accent ducts.
PMID: 28337530 [PubMed – indexed for MEDLINE]