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Diagnosis and treatment of congenital dilatation of Stensen's duct
Author(s) -
Wang Yang,
Yu GuangYan,
Huang MinXian,
Mao Chi,
Zhang Lei
Publication year - 2011
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.21854
Subject(s) - medicine , sialography , parotidectomy , histopathology , duct (anatomy) , parotid gland , retrospective cohort study , swelling , surgery , radiology , pathology
Objectives/Hypothesis: This study aimed to describe the diagnosis and management of congenital dilation of Stensen's duct (CDSD) in seven cases. Study Design: Retrospective study. Methods: We collected data including medical records, radiology, and histopathology findings and follow‐up for seven patients (four males) with CDSD. The mean age was 23.9 years (range, 2–72 years). Results: The clinical features of CDSD were the primary presentation of painless swelling in the cheek without an obvious cause that was unilateral or bilateral and occurred at any age, and a swelling along Stensen's duct. In patients without a history of inflammation, aggressive massage of the swelling could produce abundant intraoral salivary flow. Parotid sialography demonstrated a dilated Stensen's duct with a smooth margin but no obvious obstruction. All seven patients underwent superficial parotidectomy including the intact Stensen's duct. No patient showed recurrent swelling after a follow‐up of 6 to 65 months. Conclusions: CDSD is an uncommon congenital disorder of the parotid gland. Management with parotidectomy is effective.

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