Am J Otolaryngol Head Neck Surg | Volume 1, Issue 1 | Case Report | Open Access
Achim Stegmann*, Heinrich Iro and Michael Koch
Department of Otorhinolaryngology, Friedrich Alexander University of Erlangen, Germany
*Correspondance to: Achim Stegmann
Fulltext PDFObjective: Salivary stones in the parotid and the submandibular glands are often seen diseases in ENT-Departments. More rarely these are seen in children. Complications generated by these stones are very seldom, especially in children. In the following case, a 6-year-old girl presented for further treatment due to a salivary–cutaneous fistula that had developed as a complication of left-sided submandibular gland sialolithiasis. Ultrasonography revealed a hyperechoic reflex 5 mm in size in the submandibular glandhilum. Procedure: The Treatment consisted of endoscopically guided basket extraction of the stone and simultaneous excision of the fistula channel, with transcervical closure of the glandular capsule, preserving the gland.
Results: Even 10 years after the procedure, the patient is still without symptoms. There was no further stone seen in the gland and no signs of obstruction.
Conclusion: This case shows that gland-preserving treatment is possible even in complex situations in the submandibular gland - a very useful approach particularly in pediatric patients.
Sialolithiasis; Complication; Submandibular gland; Salivary-cutaneous fistula; Treatment
Stegmann A, Iro H, Koch M. Pediatric Submandibular Gland Sialolithiasis with Salivary–Cutaneous Fistula: Case Report on Gland-Preserving Treatment with Combined Endoscopic– Transcutaneous Surgery. Am J Otolaryngol Head Neck Surg. 2018;1(1):1003.