2017Bengal Journal of Otolaryngology and Head Neck SurgeryOpen access

Recurrent Parotitis due to Parotid Duct Calculi

Pranabashish Banerjee, Debasis Barman, Braja Ballav Pakira

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Abstract

Introduction Recurrent parotitis is frequently encountered in Otolaryngology practice. Parotid calculi, however is extremely uncommon as compared to submandibular calculi. Hence parotid duct calculi as a cause of recurrent parotitis need a special emphasis. Case Report We present here a rare case of recurrent parotitis due to parotid duct calculi in a 35 yr old female patient, who initially had presented to ENT OPD with recurrent pain and swelling for last eight months. Clinical examination was suggestive of calculi in the left parotid duct area which was confirmed by relevant radiological evaluation including USG, CT scan and parotid sialography. Patient was treated by superficial parotidectomy along with removal of the calculi from the parotid duct. Discussion Calculi arising from the submandibular duct and gland are well established and quite easy to diagnose, but parotid calculi are quite unheard of in clinical practice. According to Western literature, parotid calculi account for 15-20% of all salivary gland calculi. We present here the case along with the relevant review of the literature.

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Introduction Recurrent parotitis is frequently encountered in Otolaryngology practice. Parotid calculi, however is extremely uncommon as compared to submandibular calculi. Hence parotid duct calculi as a cause of recurrent parotitis need a special emphasis. Case Report We present here a rare case of recurrent parotitis due to parotid duct calculi in a 35 yr old female patient, who initially had presented to ENT OPD with recurrent pain and swelling for last eight months. Clinical examination was suggestive of calculi in the left parotid duct area which was confirmed by relevant radiological evaluation including USG, CT scan and parotid sialography. Patient was treated by superficial parotidectomy along with removal of the calculi from the parotid duct. Discussion Calculi arising from the submandibular duct and gland are well established and quite easy to diagnose, but parotid calculi are quite unheard of in clinical practice. According to Western literature, parotid calculi account for 15-20% of all salivary gland calculi. We present here the case along with the relevant review of the literature.

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Available abstract

Introduction Recurrent parotitis is frequently encountered in Otolaryngology practice. Parotid calculi, however is extremely uncommon as compared to submandibular calculi. Hence parotid duct calculi as a cause of recurrent parotitis need a special emphasis. Case Report We present here a rare case of recurrent parotitis due to parotid duct calculi in a 35 yr old female patient, who initially had presented to ENT OPD with recurrent pain and swelling for last eight months. Clinical examination was suggestive of calculi in the left parotid duct area which was confirmed by relevant radiological evaluation including USG, CT scan and parotid sialography. Patient was treated by superficial parotidectomy along with removal of the calculi from the parotid duct. Discussion Calculi arising from the submandibular duct and gland are well established and quite easy to diagnose, but parotid calculi are quite unheard of in clinical practice. According to Western literature, parotid calculi account for 15-20% of all salivary gland calculi. We present here the case along with the relevant review of the literature.

Key concepts: Medicine, Sialography, Parotid duct, Parotitis, Otorhinolaryngology, Parotid gland, Parotidectomy, Duct (anatomy)

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