Panuganti Bharat A, Baldassarre Randall L, Bykowski Julie, Husseman Jacob
Division of Otolaryngology - Head and Neck Surgery, Department of Surgery, University of California - San Diego, 200 W Arbor Drive #8895, San Diego, CA 92103, USA.
Department of Radiology, University of California - San Diego, San Diego, CA, USA.
Radiol Case Rep. 2017 Jul 10;12(3):519-522. doi: 10.1016/j.radcr.2017.06.002. eCollection 2017 Sep.
Sialolithiasis is a common salivary pathology, suggested to affect over 1% of the population by postmortem studies. An uncommon complication of sialadenitis and sialolithiasis is the formation of fistulous tracts to other cervicofacial compartments. Submandibular gland sialocutaneous and sialo-oral fistulae have been sparsely described, but a sialo-pharyngeal fistula manifesting as a tonsillolith has yet to be described. We present an unusual case of a 35-year-old male presenting with recalcitrant neck pain and a presumed tonsillolith in the background of chronic submandibular sialadenitis, subsequently demonstrating a salivary fistula through the parapharyngeal space. We offer a thorough review of the literature to highlight the possibility of migratory sialolithiasis and its complications.
涎石病是一种常见的唾液腺疾病，尸检研究表明其在人群中的发病率超过1%。涎腺炎和涎石病的一种罕见并发症是形成通向其他颈面部间隙的瘘管。下颌下腺涎皮瘘和涎口瘘的描述较少，但表现为扁桃体结石的涎咽瘘尚未见报道。我们报告一例35岁男性的罕见病例，该患者在慢性下颌下腺涎腺炎背景下出现顽固性颈部疼痛和疑似扁桃体结石，随后发现通过咽旁间隙的唾液瘘。我们对文献进行了全面回顾，以强调游走性涎石病及其并发症的可能性。
