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Submandibular accessory salivary gland causing Warthin's duct obstruction
A Köybaşioğlu1, F Ileri, S Gençay
1Department of Otorhinolaryngology, Gazi University School of Medicine, 06580 Bebevler-Ankara, Turkey.
Head & Neck
|September 26, 2000
Summary
An accessory salivary gland caused Warthin's duct obstruction, a rare cause of submandibular masses. Surgical excision of the submandibular gland and accessory tissue is recommended for symptomatic cases.
Area of Science:
- Otorhinolaryngology
- Surgical Pathology
Background:
- Submandibular masses often result from sialolithiasis, but salivary gland tumors are also considered.
- This case report highlights an uncommon etiology of Warthin's duct obstruction.
Observation:
- Sialography identified an accessory salivary gland in the submandibular region.
- The accessory salivary gland was found to be obstructing the Warthin's duct.
Findings:
- Histopathologic examination confirmed the presence of accessory salivary tissue causing Warthin's duct narrowing.
- Submandibular gland excision was performed for diagnosis and treatment.
Implications:
- Accessory salivary gland tissue can cause symptomatic Warthin's duct obstruction.
- Surgical management involving excision of both the submandibular gland and the accessory tissue is indicated for symptomatic accessory glands.