title: Spontaneous cutaneous extrusion of a parotid gland sialolith.
abstract: Parotid gland sialolithiasis is an uncommon condition that can cause pain and recurrent infection in affected patients. Migration of a stone through a fistula is a rare but possible complication of untreated sialolithiasis. We present a case of parotid gland sialolithiasis in a 63-year-old woman with recurrent episodes of parotitis and facial pain, which resolved through spontaneous extrusion of the stone (11 mm) through a cutaneous fistula while awaiting surgery. Management is typically conservative or surgical, depending on the location and size of the stone, and the clinical presentation.
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
authors.forename: Kelly
authors.initials: K
authors.lastname: Brown
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia.
authors.forename: Tricia
authors.initials: T
authors.lastname: Cheah
authors.affiliation: Department of Otorhinolaryngology, Head & Neck Surgery, Royal Perth Hospital, Perth, Western Australia, Australia CS Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan, USA.
authors.forename: Jennifer F
authors.initials: JF
authors.lastname: Ha
mesh_terms: D017577:Cutaneous Fistula / Q000000981:diagnostic imaging*; D019468:Disease Management; D005260:Female; D006801:Humans; D008875:Middle Aged; D015494:Salivary Gland Calculi / Q000000981:diagnostic imaging*