Congenital salivary fistula of accessory parotid gland: imaging findings

Abstract

In such cases, pre-operative imaging (with sialography, magnetic resonance sialography and computed tomography sialography with fistulography) is helpful for exact delineation of the ductal anatomy. To the best of our knowledge, only four previous cases of congenital accessory parotid gland fistula have been reported in the English literature.

Congenital salivary fistula of an accessory parotid gland in Goldenhar syndrome

“…9 Congenital malformation and acquired tumours of accessory parotid glands have been documented. 4,5,8 Goldenhar syndrome occurs due to abnormal embryogenesis of the first and second branchial apparatus, structures which give rise to most of the important facial structures. 4,5,8 Goldenhar syndrome occurs due to abnormal embryogenesis of the first and second branchial apparatus, structures which give rise to most of the important facial structures.…”

“…1,2 Hypoplasia or aplasia of the zygoma, ear, parotid gland, mandible and masticatory muscles are usually present in this syndrome. [4][5][6][7][8] Their association with Goldenhar syndrome has not been fully studied. 3 Congenital salivary fistulae due to abnormal development of an accessory parotid gland have been documented in several articles.…”

“… [4][5][6][7][8]. The prominent clinical sign in all cases was a punctate skin orifice lateral to the commissure of the lips, withFIG.…”

Cheek fistula from the ectopic salivary gland: A variant of the oculo‐auriculo‐vertebral spectrum

“…The development of a congenital cheek salivary fistula (CCSF) from ectopic accessory gland tissue has been documented as a very rare clinical entity . It is characterized by the occurrence of a saliva‐discharging skin fistula lateral to the oral commissure . An ipsilateral preauricular appendage is another frequent diagnostic sign.…”

Dynamic Scintigraphy With SPECT-CT of Postoperative Salivary Leak

“…X ray, echo, CT, and MR sialography or fistulography, and salivary gland scintigraphy have been used each with advantages and disadvantages. [5][6][7][8] There is no real accepted standard diagnostic sequence. Scintigraphy is commonly used to assess salivary gland function like in suspicion of Sjögren's syndrome.…”