Abscess Associated with Sialolith in a Parotid Duct - A Case Report

Augusto Cesar Sette Dias; Halysson Fernandes de Souto; Jéssica de Freitas Tavares; Vladimir Reimar Augusto de Souza Noronha

doi:10.4103/ams.ams_301_20

Abscess Associated with Sialolith in a Parotid Duct - A Case Report

Ann Maxillofac Surg. 2021 Jan-Jun;11(1):180-182. doi: 10.4103/ams.ams_301_20. Epub 2021 Jul 24.

Authors

Augusto Cesar Sette Dias¹, Halysson Fernandes de Souto², Jéssica de Freitas Tavares³, Vladimir Reimar Augusto de Souza Noronha¹

Affiliations

¹ Department of Oral and Maxillofacial Surgery, Newton Paiva University Center, Belo Horizonte, Minas Gerais, Brazil.
² Department of Oral and Maxillofacial Surgery, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
³ Student, Newton Paiva University Center, Belo Horizonte, Minas Gerais, Brazil.

Abstract

Rationale: The aim of this work is to describe the case of a large abscess associated with a sialolith in the parotid duct.

Patient concerns: Patient's concern is evident in this pathology, because infection untreated or rapidly spreading infections can be potentially life-threatening secondary to airway compromise or septicemia.

Diagnosis: Clinical examination, ultrasonography of the region, and cone beam computed tomography were requested to confirm the diagnosis of a sialolith associated with a large abscess.

Treatment: Antibiotic therapy with extraoral drainage was performed. After remission of the infection, the stone was located, removed, and the edges sutured.

Outcomes: The patient was followed for 6 months. There was a minimal scar without any other noteworthy change.

Take-away lessons: The pathological changes involving the salivary glands are extremely important for diagnosis and treatment plan.

Keywords: Abscess; salivary gland stones; sialolithiasis.

Publication types

Case Reports