Dataset Information
Sialocutaneous fistula to the external auditory canal repaired with superficial parotidectomy and temporoparietal flap: A case report.
Ontology highlight
ABSTRACT: Rationale
Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose.Patient concerns
Gustatory, left-sided clear otorrhea with acutely increased volume over 8 months causing social disruption.Diagnoses
Sialocutaneous fistula to the external auditory canal.Interventions
Superficial parotidectomy and temporoparietal flap for closure of fistula.Outcomes
No postoperative complications and resolution of gustatory otorrhea at one-year follow-up.Lessons
This rare, but important, postoperative complication can present late with evolving symptoms, causing significant social disruption. It can be treated with conservative medical management and several surgical approaches.
SUBMITTER: van der Woerd BD
PROVIDER: S-EPMC5662334 | biostudies-literature | 2017 Oct
REPOSITORIES: biostudies-literature
Publications
Sialocutaneous fistula to the external auditory canal repaired with superficial parotidectomy and temporoparietal flap: A case report.
Medicine 20171001 42
<h4>Rationale</h4>Gustatory otorrhea can lead to cutaneous changes, recurrent infection, and social disruption. We present a case of a late, evolving sialocutaneous fistula to the external auditory canal, managed surgically after failing conservative therapies. This case is unique by late evolution, whereby the symptoms presented with significance 27 years after her operation and 19 years after mild symptoms initially arose.<h4>Patient concerns</h4>Gustatory, left-sided clear otorrhea with acute ...[more]
