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Feather in Wharton's Duct: A Case Report.

Mazyad M Alenezi1,2, Rima M Alassaf3, Jana Saud3

  • 1Otorhinolaryngology - Head and Neck Surgery, Ad Diriyah Hospital, Riyadh Third Health Cluster, Ministry of Health, Riyadh, SAU.

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|May 21, 2025
PubMed
Summary

A 12-year-old boy’s tooth-flossing habit led to a rare Wharton's duct obstruction. A 2 cm feather was surgically removed, highlighting clinical history’s importance over imaging.

Keywords:
foreign bodyobstructive sialadenitissubmandibular glandsurgical explorationwharton’s duct

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Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Sialolithiasis

Background:

  • Wharton's duct, the primary salivary duct for the submandibular gland, can be obstructed by foreign bodies.
  • Submandibular pain and swelling are common presenting symptoms.

Observation:

  • A 12-year-old boy presented with right submandibular pain and swelling.
  • He reported a history of using a feather for dental hygiene.
  • Computed tomography (CT) imaging did not reveal the obstruction.

Findings:

  • Surgical exploration under general anesthesia was performed based on clinical suspicion.
  • A 2 cm feather shaft was successfully retrieved from Wharton's duct.
  • This confirmed a rare case of foreign body obstruction.

Implications:

  • Clinical history is crucial for diagnosing rare conditions when imaging is inconclusive.
  • Early surgical intervention is key for managing Wharton's duct foreign body obstruction.
  • This case highlights the limitations of CT in detecting radiolucent foreign bodies.