A 1-year-old girl presented with serous discharge from the right cheek since birth which increased on chewing. On examination, there was a 1 mm × 1 mm cutaneous opening over the right cheek, 2 cm lateral to the angle of the mouth along with bilateral preauricular skin tags []. Intraoral examination and duct opening of parotid and submandibular gland was normal on both sides. Sinogram with a 24G cannula showed a thin tubular tract directed posteromedially from the external opening on the cheek into the region of the Stensen's duct/parotid gland []. There was no communication with the oral cavity or mandible. Under general anesthesia, the external opening was cannulated with a 24G intravenous plastic cannula and methylene blue injected []. With circumferential fine dissection around the external opening, the fistula tract was separated from the skin and subcutaneous fat of the cheek and brought into the oral cavity. Further intraoral dissection showed the tract initially going vertically down for 2 cm then turning posteriomedially for 1 cm to finally opening into the right Stensen's duct near the lower part of the parotid gland []. The fistulous tract was transfixed and ligated at its origin in the duct and excised in toto []. At 1-year follow-up, she has a negligible scar with a good cosmetic outcome [].
A 35-year-old male, carpenter by profession, reported to us following a RTA. He was diagnosed with a panfacial fracture which included a LeFort 3, ZMC, naso-orbital-ethmoid, bilateral condylar, and symphysis fractures [Figures and ]. The right subcondylar-ramus fracture was approached through a periangular incision. The left dislocated condyle was then reduced and fixed through a preauricular approach. This was followed by the symphysis fracture reduction and fixation through an intraoral vestibular approach. The midface was finally reduced and fixed. This was followed by a postoperative orthopantomogram for assessment [].