Clin Exp Otorhinolaryngol.  2008 Jun;1(2):113-115. 10.3342/ceo.2008.1.2.113.

Chemocauterization of Congenital Fistula from the Accessory Parotid Gland

• Hah JH
• Kim BJ
• Sung MW
• Kim KH

• KMID: 1486064
• DOI: http://doi.org/10.3342/ceo.2008.1.2.113

Abstract

Congenital sialo-cutaneous fistula arising from the accessory parotid gland is extremely rare. Although the fistula tract can be successfully excised after making a skin incision along the skin tension line around the fistula opening, a facial scar inevitably remains. We here report a case of sialo-cutaneous fistula that was treated with chemocauterization with trichloroacetic acid (TCA). TCA cauterization is an easy and effective option for the treatment of congenital fistula from an accessory parotid gland, especially from the aesthetic point of view.

Keyword

Congenital sialo-cutaneous fistula; Accessory parotid gland; Trichloroacetic acid; Chemocauterization

MeSH Terms

Cicatrix
Fistula
Parotid Gland
Skin
Trichloroacetic Acid
Trichloroacetic Acid

Figure

• 

  Fig. 1 Initial findings of CT-sialography. (A-D) Fistula tract from the outside opening of the right anterior cheek to the accessory gland at the anterior aspect of the right parotid gland.

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  Fig. 2 Chemocauterization of a sialo-cutaneous fistula with trichloroacetic acid (TCA) solution. (A) Intraoperative findings. A small metal suction tip was inserted through the fistula opening. A lacrimal probe, held by a surgeon, indicated the end of the suction tip. The length of the fistula tract was about 6 cm. Two mL of 40% TCA solution was injected for chemocauterization of the tract. (B) Postoperative findings after 2 month. The fistula opening was completely closed and only a small dimple remained. The cosmetic result was very satisfactory.

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