After parotid duct exploration & excision and superficial parotidectomy, all specimens sent for biopsy which reveals parotid duct sialectasis with normal parotid gland.
Marsupialisation is a minimally invasive and reliable procedure for treating sialectasis.  The aspiration of the content and the compression dressing were capable to solve the case.
Where available, sialography has also been useful in diagnosing RJP in the past, with the very characteristic patterns of multiple areas of punctate and globular sialectasis scattered throughout the glandular parenchyma.
Recurrent parotitis and sialectasis in childhood: Clinical, radiologic, immunologic, bacteriologic, and histologic study.
The parenchyma demonstrated a heterogeneous blush, but no focal sialectasis
Thus, it was assumed that the most likely etiology was sialectasis
, secondary to the prolonged history of a parotid tumor.
(1) As acinar destruction progresses, salivary production decreases and ascending infections develop, eventually leading to sialectasis developing in the gland, enlargement of the microcysts and fatty replacement of the destroyed acinar within the salivary gland parenchyma.
The sequence will therefore clearly show any cysts or dilated ducts (sialectasis) within the relevant glands, and provides a non-invasive alternative to retrograde contrast sialography.
Recurrent parotitis (RP) is defined as recurrent parotid inflammation, generally associated with non-obstructive sialectasis
of the parotid gland.
Chronic sialadenitis was diagnosed when there was change in the calibre of the duct, sialectasis
. Sialoliths were identified when there was filling defect or void in the course of the duct.
(2,8,9) Ultrasonography is helpful when making a specific diagnosis such as sialectasis
. It can also help determine whether a parotid swelling has arisen secondary to enlargement of adjacent tissue or to the presence of an intraparotid mass, including an abscess.
Recurrent parotid insufflation can predispose the patient to recurrent parotitis and sialectasis