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Clinical Challenge | Endoscopy

Floor of Mouth Swelling QUIZ ONLINE FIRST

Kristy Truong, MD1; Robert Robinson, MD1; Henry Hoffman, MD1
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, The University of Iowa Hospitals and Clinics, Iowa City
JAMA Otolaryngol Head Neck Surg. Published online June 09, 2016. doi:10.1001/jamaoto.2016.1024
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A woman presented with right submandibular swelling and pain, associated with eating, and inability to express saliva on examination; a sialogram showed a high-grade stricture into the right submandibular duct orifice. What is your diagnosis?

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Figure.
A, Left to right: Wharton duct, a branching point 2 cm from the orifice showing the entrance to Bartholin duct, and a blind pouch 2.5 cm from the orifice (end of Bartholin duct). B, Cystic fluid collection in right sublingual space. C, Recurrent floor of mouth swelling following ipsilateral submandibular gland resection. D, Wharton duct (black arrowhead) with denuded epithelium and inflammation with Bartholin duct (white arrowhead) from sublingual gland.
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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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