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Fractured submandibular gland: CT findings
J J Roebker1, L C Hall, R R Lukin
1Department of Radiology, University Hospital, Cincinnati, OH 45267.
Journal of Computer Assisted Tomography
|November 1, 1991
Summary
A neck mass after trauma indicated a fractured submandibular gland. Imaging confirmed this rare injury, highlighting the need for prompt diagnosis.
Area of Science:
- Trauma surgery
- Head and neck surgery
- Radiology
Background:
- Submandibular gland injuries are rare consequences of head and neck trauma.
- Delayed diagnosis can lead to complications such as infection or salivary fistula.
Observation:
- A patient presented with a slowly enlarging neck mass 12 hours post-trauma.
- Clinical examination revealed a palpable mass in the left neck region.
Findings:
- Computed tomography (CT) imaging demonstrated a fracture involving the left submandibular gland.
- Sialography confirmed the extent of the injury and potential ductal involvement.
Implications:
- This case underscores the importance of considering glandular injury in patients with neck trauma.
- Accurate diagnosis via CT and sialography is crucial for appropriate management.
- Prompt recognition and treatment can prevent long-term complications.