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ABSTRACTinjury to the parotid duct is commonly missed which may lead to a fistula subsequently. an external duct fistula is distressing to the patient because of continuous dribble of saliva during mastication. management of established duct fistula is controversial with a variety of methods both conservative and operative being reported in the literature, each having varying degrees of success. reconstruction of the duct is not a good option because of its modest results. internal diversion of the opening is an innovative, simple method to correct this problem. we report the successful use of this technique in a case of distal parotid duct fistula associated with apical root abscess of maxillary molars with cutaneous sinus-an unusual presentation, with a brief review of the literature on the management of parotid fistula.
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