Fistula of submandibular gland-a rare presentation

Jana, Avik Kumar; Jaswal, Abhishek; Sikder, Biswajit; Jana, Utpal; Nandi, T.

doi:10.1007/bf03049608

Cited by 6 publications

(9 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various authors have advocated different forms of management varying from observation and conservative management to surgical intervention, including either gland-preserving surgery or excision of the gland with fistulae tract. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Final Comments…”

Section: Discussionmentioning

confidence: 99%

Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review

Dokania,

Ibrar,

Vishwakarma

2023

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

Introduction Submandibular gland fistula (SGF) is a rare subset of salivary gland fistulas. It is seldom tough to diagnose them prior to surgical exploration, and it is often clinically confused with close differentials. An early diagnosis based on pertinent clinical features and focused radiological findings can be pivotal in optimal management and help prevent recurrence and avoid unnecessary investigations/interventions. Objective To review articles that discuss SGF and provide vital etiological, clinical, and imaging features of this rare entity that can aid in early clinical diagnosis. Data synthesis An extensive review involving PubMed and Google Scholar and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Conclusion Submandibular gland fistula is a rare entity. It can be confused with close differentials, including branchial fistulas, if not thoroughly examined. Discharge from fistulae along with submandibular pain/tenderness and/or swelling are important diagnostic clues. A history of trauma, nodule at the site of discharge, prior submandibular disease/calculi, or discharge aggravated with food further increases a clinical suspicion. Optimal radiological investigation looking for calculi/foreign body and delineating the fistula tract is vital to affirm a diagnosis. Gland with fistula excision is a commonly advocated treatment of choice with no reports of recurrence, although conservative management and gland preserving surgery have also reported a favorable prognosis.

show abstract

Section: Discussionmentioning

confidence: 99%

Early Clinical Mapping of Submandibular Gland Fistula: A Case Report and Systematic Review

Dokania,

Ibrar,

Vishwakarma

2023

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…Here, it connected the infected submandibular gland to the anterior part of the platysma muscle, thus penetrating the muscle. Only two of the previously reported 13 cases described a fistula with skin lesions showing cutaneous openings 1 . The opening in this case did not…”

mentioning

confidence: 99%

“…It improved with conservative treatment using systemic antibiotics under close observation. Salivary gland fistula usually originates from the parotid gland although it also rarely arises from the submandibular gland 1 . Most previous reports were limited to parotid gland fistula; only 13 cases describing fistula of the submandibular gland were found by using keyword, 'submandibular gland fistula', 'submandibular fistula', 'submandibular' and 'fistula' and compatible with submandibular gland fistula on PubMed searching (Table 1) [2][3][4][5] .…”

mentioning

confidence: 99%

“…Most previous reports were limited to parotid gland fistula; only 13 cases describing fistula of the submandibular gland were found by using keyword, 'submandibular gland fistula', 'submandibular fistula', 'submandibular' and 'fistula' and compatible with submandibular gland fistula on PubMed searching (Table 1) [2][3][4][5] . These cases listed causes of trauma 1 , sialadenitis 2 , calculi 3 , or structural anomaly 4 . Salivary gland fistula is caused by mechanical obstruction to the drainage of the salivary duct via natural pathways such as calculi or tumors pressing on the duct.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Fistula of the Submandibular Gland Presenting as a Painful Mass in the Neck: A Rare Case

Ryu

Kim

et al. 2020

Ann Dermatol

View full text Add to dashboard Cite

show abstract

“…Most acquired fistulas may be owing to surgery, facial trauma, sepsis within the gland parenchyma, or malignancy. Congenital ectopic salivary fistulas are unusual and most are composed of parotid gland fistulas or submandibular gland fistulas [3]. Fistulas arising from a minor salivary gland are uncommon and may occur in Van der Woude syndrome, Sjögren syndrome, and intraoral cyst resulting from traumatic injuries, infections, or salivary gland stones and tumors [1,4,5].…”

mentioning

confidence: 99%