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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8407621PMC
http://dx.doi.org/10.4103/ams.ams_301_20DOI Listing

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