Ajike SO, Omisakin OO and Ogbeifun JO
Parotid duct fistula is uncommon and difficult to treat. The challenges of the surgical repair of a chronic type D1(a) parotid duct fistula in a 20-year-old male patient in a poor resource setting is described and compared to previous reports. Diagnosis of fistula was confirmed clinically when the parotid was milked and while patient was eating. Repair was carried out using a feeding tube under general anesthesia six years after the sustained injury. Full recovery was achieved post-operatively with established salivary flow from the Stenson’s duct. The various modalities of treatment are briefly mentioned. Trauma/laceration to the parotid and cheek/buccal region should raise a suspicion of possible parotid duct fistula.
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