International Journal of Dental Sciences

Authors
Nagarathna PJ, Pramod Krishna B, Nikita Bhure, Sagar Bhure

Abstract
The ectopic accessory parotid system (EAPS) refers to a specific anomaly in the development of the parotid salivary system that is characterized as a congenital saliva-draining fistula near the oral commissure. The presence of an accessory parotid gland with an ectopic fistulous duct is a rare occurrence. We present a case of 8-year-old female child with the complaint of watery discharge from right side of the cheek. Clinical examination demonstrated a small punctum on the right side of the face, ipsilateral preauricular appendages. The diagnosis was based upon the ultrasonography, contrast digital fistulography, contrast CT sialography. Which confirmed the diagnosis of Ectopic Accessory Parotid System with cheek fistula. It was managed surgically under general anaesthesia by trans- positioning of the duct to open into the buccal mucosa near 1st molar region using Delore's method and excision of preauricular appendage on the same setting.