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Year : 2021  |  Volume : 11  |  Issue : 1  |  Page : 180-182

Abscess associated with sialolith in a parotid duct - A case report

1 Department of Oral and Maxillofacial Surgery, Newton Paiva University Center, Belo Horizonte, Minas Gerais, Brazil
2 Department of Oral and Maxillofacial Surgery, Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
3 Student, Newton Paiva University Center, Belo Horizonte, Minas Gerais, Brazil

Correspondence Address:
Prof. Augusto Cesar Sette Dias
Department of Oral and Maxillofacial Surgery, Sala dos Professores, Newton Paiva University Center, Avenida Silva Lobo, 1730 – Nova Granada, Belo Horizonte, Minas Gerais, Postal code: 30431-26
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DOI: 10.4103/ams.ams_301_20

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Rationale: The aim of this work is to describe the case of a large abscess associated with a sialolith in the parotid duct. Patient Concerns: Patient's concern is evident in this pathology, because infection untreated or rapidly spreading infections can be potentially life-threatening secondary to airway compromise or septicemia. Diagnosis: Clinical examination, ultrasonography of the region, and cone beam computed tomography were requested to confirm the diagnosis of a sialolith associated with a large abscess. Treatment: Antibiotic therapy with extraoral drainage was performed. After remission of the infection, the stone was located, removed, and the edges sutured. Outcomes: The patient was followed for 6 months. There was a minimal scar without any other noteworthy change. Take-away Lessons: The pathological changes involving the salivary glands are extremely important for diagnosis and treatment plan.

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