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Spontaneous Salivary Fistula Masquerading as CSF Otorrhea
Shilpa M Rao1, Binitha Dominic2, Milind M Navalakhe3
1Department of Otolaryngology- Head and Neck Surgery, Northwestern University, 675 North Saint Clair St, Fl 15, Chicago, IL 60611 USA.
Abstract:
This study reports a rare case of spontaneous salivary fistula in the External Auditory Canal (EAC) in a 19-year old female. The patient was initially diagnosed with Cerebrospinal Fluid (CSF) Otorrhoea and treated in various hospitals in India over a period of six years. However, the patient's symptoms did not improve with any modality of treatment. We diagnosed the patient to have a salivary fistula with a simple bedside test, using an oral methylene blue dye. The patient was successfully treated with surgery, which included EAC drilling.
