Indian Journal of Plastic Surgery
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 CASE REPORT
Year : 2007  |  Volume : 40  |  Issue : 2  |  Page : 213--216

Dental sinus with parotid duct fistula: An unusual presentation


Department of Plastic Surgery, Grant Medical College, GT Hospital, Mumbai, India

Correspondence Address:
Naren Shetty
Ward 4, 1st Floor, GT Hospital, LT Marg, Dhobitalao, Mumbai - 400 001
India
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DOI: 10.4103/0970-0358.37772

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Injury to the parotid duct is commonly missed which may lead to a fistula subsequently. An external duct fistula is distressing to the patient because of continuous dribble of saliva during mastication. Management of established duct fistula is controversial with a variety of methods both conservative and operative being reported in the literature, each having varying degrees of success. Reconstruction of the duct is not a good option because of its modest results. Internal diversion of the opening is an innovative, simple method to correct this problem. We report the successful use of this technique in a case of distal parotid duct fistula associated with apical root abscess of maxillary molars with cutaneous sinus-an unusual presentation, with a brief review of the literature on the management of parotid fistula.






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