In this paper, we report a rare case of an ectopic accessory parotid gland fistula in an adult. A sequential pictorial ac-count illustrated the surgical excision of the fistula in its entirety, and histopathology confirmed the parotid fistula. To the best of our knowledge, only one such case has been reported earlier in the English literature. Congenital parotid duct fistulas are a rare phenomenon, but the occurrence of the fistula in an otherwise healthy adult is even rarer. Two months post procedure, the patient continues to be symptom free. We used search engines such as PubMed, Medli-ne, and Google Scholar and the Wiley Online library for a systematic review.
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