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  Vol. 125 No. 11, November 1999 TABLE OF CONTENTS
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Quiz Case 1

Arch Otolaryngol Head Neck Surg. 1999;125:1270-1272.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 28-YEAR-OLD Latin American man presented with a 7-month history of a swelling in the right submandibular area. The swelling was painless, soft, and changed size intermittently. There was no history of trauma, dysphagia, dental problems, or neck infections. The patient sought medical attention for aesthetic reasons. Examination revealed a 6x5-cm cystic mass in the right submandibular area that was nontender, mobile, and not attached to any underlying structures. The mass did not move during swallowing or tongue protrusion. Saliva could be expressed from the Wharton duct.There was no intraoral swelling. The findings of fine-needle aspiration were nondiagnostic. A computed tomographic scan revealed a large, homogeneous, well-circumscribed cystic structure lateral and posterior to the submandibular gland (Figure 1). The submandibular gland appeared normal but was displaced medially and anteriorly. The patient underwent en bloc excision of the mass through a submandibular approach. There was no identifiable . . . [Full Text of this Article]







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