Salivary fistula after parotid surgery
Dr Andy Jordan's photographs of an unusual presentation in his surgery
This 40-year-old developed a lump in his left parotid gland about a year previously, writes Dr Andy Jordan. Fine needle aspiration had not contributed to the diagnosis and an MRI scan revealed a 3cm diameter solid lesion in the superficial gland.
A superficial parotidectomy had been performed (near right) and this had been complicated by the development of a haematoma, which was aspirated by the ENT consultant.
Four weeks after the operation he came to see me complaining that at mealtimes he suffered leakage of fluid from a small section of the wound (centre right). There was no sign of infection and the fluid was sterile. He had developed a salivary fistula which, according to the ENT surgeons, was not uncommon.
It healed over the following four weeks without any further intervention (far right).
The tumour was a benign basal cell adenoma.