2017 Volume 53 Issue 7 Pages 1316-1319
An otherwise healthy two-year-old boy was referred to our department with intermittent mucous drainage from the fistula in the middle of the inside margin of the sternocleidomastoid muscle after birth. Fistulography revealed that the fistula was branched and limited to the submandibular triangle. This tract originated from the normal left submandibular gland. The lesion was explored surgically by spindle incision surrounding the orifice and the fistula was dissected up to the submandibular gland. Wharton’s duct was opened normally at the sublingual caruncle. The postoperative course was uneventful. Histological examination revealed a sero-mucinous salivary gland with the ducts lined by stratified squamous epithelium consistent with congenital salivary fistula.
