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Abstract

Ectopic (or aberrant) salivary gland develops at a site, where it is not normally found. Ectopic gland tissues are reported as a single anomaly and may be present in lip, tongue, in the cervical area near the parotid gland or in the body of the mandible, posterior to the first molar. Here, we report two cases having lip deformities due to presence of ectopic salivary gland tissue. The surgical approach for the presence of ectopic salivary gland tissue in the upper and lower lip causing deformity in the lips is the same as to repair cleftlip and lip notch. The only difference between the two lip surgeries is that in ectopic salivary gland tissue deformity, no involvement of any musculature of lip as it is found in cleftlip surgery e.g. orbicularis oris. The only objective in ectopic salivary tissue surgery is to achieve esthetic and removal of excessive salivary gland tissue.

Keywords- aberrant, aplasia, topography, sialography, radionucleotide scanning

Introduction

Ectopic (or aberrant) salivary gland is the salivary gland tissue that develops at a site where it is not normally found. Ectopic gland tissues are reported as a single anomaly and may be present in lip, tongue, cervical area near the parotid gland or in the body of the mandible. Sometimes aberrant gland tissues are reported in combination with other facial anomalies such as unilateral tonsillar aplasia or absence of a normal external auditory meatus. In the neck area, most aberrant salivary gland tissues occur in the upper portion of the neck as branchial cleftcyst. Salivary gland tissue is less frequently found below the neck.

The ectopic salivary gland (ESG) tissue is mostly reported in upper and lower lip area causing facial deformities to the patients. The patients required facial reconstruction to correct the defect. Here, we report two cases having lip deformities due to presence of ectopic salivary gland tissue.

Care Report 1

A 12 year old male patient was referred to us with chief complaint of irregular swelling on both sides of upper lip, resulting in asymmetrical lips since last 2 years. The patient gave no history of pain and redness on the lips. No tender, palpable submandibular and submental lymph nodes were noted. On...

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