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Author Spotlight: A Focus on Standardized Salivary Gland Ultrasound Protocol in Connective Tissue Disease Research

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Published on: October 13, 2023

Curious case of submandibular swelling.

Naveen Sivadas¹, Riju Ramachandran², Anoop V Pillai¹

¹Department of General Surgery, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India.

BMJ Case Reports

|February 13, 2020

Summary

A neck swelling in a 35-year-old woman was surgically removed. The lesion was separate from the submandibular gland and tracked to a decayed tooth.

Keywords:

dentistry and oral medicine head and neck surgery infections

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Area of Science:

Head and Neck Surgery
Oral and Maxillofacial Surgery
Pathology

Background:

A 35-year-old woman presented with a progressively increasing, painless neck swelling over 8 months.
The swelling was located in the left submandibular region, measuring 3x2 cm, firm, mobile, and non-tender.

Observation:

Ultrasonography revealed a bilobed, heteroechoic lesion with internal vascularity and macrocalcifications.
Surgical excision demonstrated the lesion was distinct from the submandibular gland and vascular structures.

Findings:

The lesion exhibited sinus tract formation extending around the submandibular gland.
The sinus tract reached the root of a decayed left lower second molar tooth.

Implications:

This case highlights a rare presentation of a submandibular region swelling with an odontogenic sinus tract.
Accurate diagnosis and surgical planning are crucial for complete removal and management of such complex cases.