J Korean Soc Radiol.  2018 Mar;78(3):220-223. 10.3348/jksr.2018.78.3.220.

Deep Neck Infection Complicated by Isolated Submandibular Gland Fracture Due to Blunt Trauma: A Case Report

Affiliations
  • 1Department of Radiology, Chosun University Hosptal, Chosun University College of Medicine, Gwangju, Korea. waveys1@hanmail.net

Abstract

Isolated blunt traumatic injury to the submandibular gland is very rare. In the previous case reports, most patients with isolated submandibular gland injury had a good prognosis without any major complication. We report here a case of deep neck infection due to traumatic isolated submandibular gland fracture with computed tomogrphy findings.


MeSH Terms

Bacterial Infections
Humans
Neck*
Prognosis
Submandibular Gland*
Tomography, X-Ray Computed

Figure

  • Fig. 1. A 75-year-old man with deep neck infection, complicated by isolated submandibular gland fracture due to blunt trauma. A, B. Enhanced CT axial (A) and coronal (B) images of the neck demonstrate branching low-attenuation line of parenchymal laceration in the left submandibular gland with fluid collection in both anterior neck areas. C, D. Follow-up enhanced CT axial (C) and coronal (D) images reveal increased amount of fluid collection in both anterior neck areas with thickening and enhancement of the platysma and deep neck fascia. E. Surgical specimen demonstrates central parenchymal disruption in the left submandibular gland. CT = computed tomogrphy


Reference

References

1. Roebker JJ, Hall LC, Lukin RR. Fractured submandibular gland: CT findings. J Comput Assist Tomogr. 1991; 15:1068–1069.
2. Parsi S, Johnson EJ, Kates MJ. Isolated submandibular gland injury in the setting of blunt trauma. Am Surg. 2013; 79:E1–E2.
Article
3. Aggarwal A, Shaheen H, Blankas-Hernaez N. A 6-year-old female with unilateral cervical swelling. Pediatr Ann. 2015; 44:56–59.
Article
4. Akay S, Akay H, Erkan N. Delayed presentation of blunt neck trauma diagnosed with bedside ultrasonography. J Acad Emerg Med Case Report. 2014; 5:209–211.
Article
5. Tonerini M, Fratini L, Grassi L, Ravenna V, Tozzini A, Trincavelli F, et al. Blunt submandibular gland trauma: acute CT findings. Emerg Radiol. 2002; 9:116–118.
Article
6. Singh B, Shaha A. Traumatic submandibular salivary gland fistula. J Oral Maxillofac Surg. 1995; 53:338–339.
Article
7. Lazaridou M, Iliopoulos C, Antoniades K, Tilaveridis I, Dimitrakopoulos I, Lazaridis N. Salivary gland trauma: a review of diagnosis and treatment. Craniomaxillofac Trauma Reconstr. 2012; 5:189–196.
Article
8. Som PM, Curtin HD. Head and Neck Imaging, 4th ed. St. Louis, MO: Mosby-Elsevier Science. 2006. 2005–2133.
9. Favaretto N, Fasanaro E, Staffieri A, Marchese-Ragona R, Staffieri C, Giacomelli L, et al. Deep neck infections originating from the major salivary glands. Am J Otolaryngol. 2015; 36:559–564.
Article
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