Continual sialadenitis as a result of 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 commonest explanation for continual sialadenitis. On this case report, intraoperative discovering of an adjunct submandibular duct, obstructed with stone, originating from the identical gland close by the primary 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 below 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, certainly one of them was obstructed with stone. After two ducts have been ligated, the gland with sialolith was excised. In keeping with histopathologic examination, the duct obstructed with stone was recognized because the accent duct and the opposite one was the primary Wharton’s duct. Postoperative days have been uneventful; no neurologic complication was noticed.
CONCLUSIONS: Otolaryngologists ought to concentrate on anatomic variations of the submandibular duct(s) to keep away from potential issues, particularly intraoperatively, as a result of rutine preoperative radiologic preparation doesn’t embrace investigation of potential accent ducts.
PMID: 28337530 [PubMed – indexed for MEDLINE]