Otorrhea as a Resolution for a Parotid Abscess through an Unusual Natural Pathway: A Case Report and Recent Literature Review

Document Type : Case Report

Authors

1 Department of Otorhinolaryngology - Head and Neck Surgery, Kulliyah of Medicine, International Islamic University Malaysia, Bandar Indera Mahkota Campus, Jalan Sultan Ahmad Shah, 25200 Kuantan, Pahang.

2 Department of Otorhinolaryngology Head and Neck Surgery, Hospital Shah Alam, Persiaran Kayangan, Seksyen 7, 40000 Shah Alam, Selangor, Malaysia.

Abstract

Introduction:
The connection between parotid gland and external auditory canal has long been described throughout the centuries. It can act as a gateway for infectious or neoplastic material to spread between those two structures.
 
Case Report:
To our surprise, this naturally occurring defect can serve as an option to conservatively treat a parotid abscess. We report a case of a parotid abscess with a concurrent presentation of an ipsilateral ear discharge. The purpose of our study is to highlight a unique process of resolution of parotid abscess through an opening in the ear canal.
Conclusions:
In spite of the fact that the fissure of Santorini is known as the gateway and tunnel for a disease to spread, it has proven to serve as a pathway for disease elimination as well.

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