Volume 9, Issue 2 (6-2024)
J Res Dent Maxillofac Sci 2024, 9(2): 129-131 |
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Ethics code: oral & maxillofacial surgery
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Rapriya A, Kumar J. A Large Size Sialolith in the Wharton's Duct: A Rare Case Report. J Res Dent Maxillofac Sci 2024; 9 (2) :129-131
URL: http://jrdms.dentaliau.ac.ir/article-1-530-en.html
URL: http://jrdms.dentaliau.ac.ir/article-1-530-en.html
1- Faculty of Dental Sciences, SGT University, Gurugram 122505, Haryana, India. , rapriyaaditi3006@gmail.com
2- Faculty of Dental Sciences, SGT University, Gurugram 122505, Haryana, India.
2- Faculty of Dental Sciences, SGT University, Gurugram 122505, Haryana, India.
Abstract: (596 Views)
Background and Aim: Sialolithiasis is the second most frequent salivary gland disorder. However, giant submandibular sialoliths are uncommon. Herein, a case of an almond-shaped giant sialolith in the left submandibular duct measuring 3 cm x 2 cm is reported.
Case Presentation: A patient was presented complaining of pain, difficult chewing, and swelling of the floor of the mouth with purulent intraoral discharge. The ipsilateral submandibular gland was tender and enlarged, resulting in acute neck swelling. Submandibular sialolithiasis of the left Wharton’s duct was primarily diagnosed. After blood testing and imaging, the sialolith was surgically removed in toto via an intraoral approach under local anesthesia. The symptoms receded postoperatively.
Conclusion: Sialoliths must be suspected in patients complaining of submandibular and facial pain. A careful history must be taken and imaging should be performed to confirm the diagnosis and precisely locate the calcifications.
Case Presentation: A patient was presented complaining of pain, difficult chewing, and swelling of the floor of the mouth with purulent intraoral discharge. The ipsilateral submandibular gland was tender and enlarged, resulting in acute neck swelling. Submandibular sialolithiasis of the left Wharton’s duct was primarily diagnosed. After blood testing and imaging, the sialolith was surgically removed in toto via an intraoral approach under local anesthesia. The symptoms receded postoperatively.
Conclusion: Sialoliths must be suspected in patients complaining of submandibular and facial pain. A careful history must be taken and imaging should be performed to confirm the diagnosis and precisely locate the calcifications.
Type of Study: Case report |
Subject:
Oral & maxillofacial surgery
References
1. Pachisia S, Mandal G, Sahu S, Ghosh S. Submandibular sialolithiasis: A series of three case reports with review of literature. Clin Pract. 2019 Mar 20;9(1):1119. [DOI:10.4081/cp.2019.1119] [PMID] []
2. Agha RA, Borrelli MR, Farwana R, Koshy K, Fowler AJ, Orgill DP; SCARE Group. The SCARE 2018 statement: Updating consensus Surgical CAse REport (SCARE) guidelines. Int J Surg. 2018 Dec; 60:132-6. [DOI:10.1016/j.ijsu.2018.10.028] [PMID]
3. Ledesma-Montes C, Garcés-Ortíz M, Salcido-García JF, Hernández-Flores F, Hernández-Guerrero JC. Giant sialolith: case report and review of the literature. J Oral Maxillofac Surg. 2007 Jan;65(1):128-30. [DOI:10.1016/j.joms.2005.10.053] [PMID]
4. Arifa SP, Christopher PJ, Kumar S, Kengasubbiah S, Shenoy V. Sialolithiasis of the Submandibular Gland: Report of Cases. Cureus. 2019 Mar 6;11(3): e4180. [DOI:10.7759/cureus.4180] [PMID] []
5. Raksin SZ, Gould SM, Williams AC. Submandibular duct sialolith of unusual size and shape. J Oral Surg. 1975 Feb;33(2):142-5.
6. Drage NA, Brown JE, Escudier MP, McGurk M. Interventional radiology in the removal of salivary calculi. Radiology. 2000 Jan;214(1):139-42. [DOI:10.1148/radiology.214.1.r00ja02139] [PMID]
7. Siddiqui SJ. Sialolithiasis: an unusually large submandibular salivary stone. Br Dent J. 2002 Jul 27;193(2):89-91. [DOI:10.1038/sj.bdj.4801491a] [PMID]
8. Bodner L. Giant salivary gland calculi: diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Sep;94(3):320-3. [DOI:10.1067/moe.2002.123863]
9. Rai M, Burman R. Giant submandibular sialolith of remarkable size in the comma area of Wharton's duct: a case report. J Oral Maxillofac Surg. 2009 Jun;67(6):1329-32. [DOI:10.1016/j.joms.2008.11.014] [PMID]
10. Walvekar RR, Bomeli SR, Carrau RL, Schaitkin B. Combined approach technique for the management of large salivary stones. Laryngoscope. 2009 Jun;119(6):1125-9. [DOI:10.1002/lary.20203] [PMID]
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