Recurrent Parotitis due to Parotid Duct Calculi

Main Article Content

Pranabashish Banerjee
Debasis Barman
Braja Ballav Pakira

Abstract

Introduction


Recurrent parotitis is frequently encountered in Otolaryngology practice. Parotid calculi, however is extremely uncommon as compared to submandibular calculi. Hence parotid duct calculi as a cause of recurrent parotitis need a special emphasis.


Case Report


We present here a rare case of recurrent parotitis due to parotid duct calculi in a 35 yr old female patient, who initially had presented to ENT OPD with recurrent pain and swelling for last eight months. Clinical examination was suggestive of calculi in the left parotid duct area which was confirmed by relevant radiological evaluation including USG, CT scan and parotid sialography. Patient was treated by superficial parotidectomy along with removal of the calculi from the parotid duct. 


Discussion


Calculi arising from the submandibular duct and gland are well established and quite easy to diagnose, but parotid calculi are quite unheard of in clinical practice. According to Western literature, parotid calculi account for 15-20% of all salivary gland calculi. We present here the case along with the relevant review of the literature.

Article Details

How to Cite
1.
Banerjee P, Barman D, Pakira BB. Recurrent Parotitis due to Parotid Duct Calculi. BJOHNS [Internet]. 2017Aug.30 [cited 2024Dec.3];25(2):115-8. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/143
Section
Case report
Author Biographies

Pranabashish Banerjee, North Bengal Medical College Dist.Darjeeling

Assistant Prof

Dept of ENT

Debasis Barman, Burdwan Medical College Burdwan

Prof and HOD, Dept of ENT

Braja Ballav Pakira, N R S Medical College Kolkata

Professor, Dept of ENT

References

Bullock K N. Parotid and submandibular duct calculi in three successive generations of one family. Postgrad Med J. 1982, 58:35-6

Elmostehy MR. Parotid salivary calculus. Report of a case. Oral Surgery Oral Medicine and Oral Pathology 1968; 26:18

Thomson J P S and Hobsley M. Parotid duct calculus. Proceedings of the Royal Society of Medicine 1973, 66:352-3

Seifert G, Miehlke A, Haubrich J, Chilia R. Diseases of the Salivary Glands: Pathology, Diagnosis, Treatment, Facial Nerve Surgery. Stuttgart: Georg Thieme Verlag, 1986:85-90

Patey, D.H.The clinical features and diagnosis of parotid calculi. Practitioner 1966: 197: 67

Pickrell K L ,Trought W S, Shearin J C. The use of ultrasound to localize calculi within the parotid gland. Annals of Plastic Surgery 1978; 1:542

Suleiman S I, Thomson J P S and Hobsley M. Recurrent unilateral swelling of the parotid gland. Gut 1979; 2:1102-8

Seward GR. Anatomic surgery for salivary calculi.part VI. Calculi in the intraglandular part of the parotid gland. Oral Surgery, Oral Medicine, oral pathology 1968; 26:1

Fesharaki R, Baloochy M, Sonbolastan M and Fotuhi A. Parotid gland calculus-Report of a case. Journal of laryngology and otology 1979;93:737

Eddey H.H. Recurrent parotitis and associated calculus, cyst or tumour. Medical Journal of Australia 1966; 2:581

Kulkens C, Quetz JU, Lippert BM, et al. Ultrasound-guided piezoelectric extracorporeal shock wave lithotripsy of parotid gland calculi. J Clin Ultrasound 2001; 29:389-94

Ottaviani F, Capaccio P, Rivolta R, et al. Salivary gland stones US evaluation in shock wave lithotripsy. Radiology 1997; 204:437-41.