THERE ARE numerous etiologies for salivary gland swellings and disease; however, excluding sialoliths and penetrating trauma, there are few reports of foreign body etiology. The reasons are: (1) Normally there is almost continuous salivary egress from the ducts to the oral cavity. (2) The punctal anatomy and physiology at the Wharton's duct orifices is such that the intraoral terminations of the ducts have little support from the papilla of the caruncula sublingualis and can flap and twist in all directions. (3) The caliber of the duct at the punctum is quite small. Danforth and Brown1 presented an interesting case of pharyngomaxillary space abscess in a patient with a history of grass chewing. The management of this case included incisions and drainage, courses of antibiotics, and submandibular sialadenectomy which revealed chronic sialadenitis. Final resolution of the process did not occur until a blade of grass was extruded from the submandibular
Riccio FJ, Scavo VJ. Unusual Foreign Body Etiology of Sialadenitis. Arch Otolaryngol. 1967;86(2):210–211. doi:10.1001/archotol.1967.00760050212019
Otolaryngology in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.