Einstein International Journal Organization(EIJO)

Abstract

Submandibular sialolithiasis is the most common disease of salivary glands. Giant stone of more than 3 cm is extremely rare with only 18 cases reported in literature. In this short communication, we report a young gentleman, presented with an enlarged tender left submandibular gland and hard mass within Wharton duct. Neck ultrasound revealed left submandibular duct stone with an associated abscess confirmed by computed tomography scan. Medical management followed by left submandibular intraoral stone extraction with marsuplization of the duct 2 weeks later was done. The sialoliths was about 3 cm. The patient had smooth recovery with no complications in follow?up.

1. McKenna JP, Bostock DJ, McMenamin PG. Sialolithiasis. Am Fam Physician 1987;36:119?25.
2. Bodner L. Giant salivary gland calculi: Diagnostic imaging and surgical management. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002;94:320?3.
3. Soares EC, Costa FW, Pessoa RM, Bezerra TP. Giant salivary calculus of the submandibular gland. Otolaryngol Head Neck Surg 2009;140:128?9.
4. 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;65:128?30.
5. Mustard TA. Calculus of unusual size in Wharton’s duct. Br Dent J 1945;79:129.
6. Cavina C, Santoli A. Some cases of salivary calculi of particular interest. Minerva Stomatol 1965;14:90?5.
7. Raksin SZ, Gould SM, Williams AC. Submandibular duct sialolith of unusual size and shape. J Oral Surg 1975;33:142?5.
8. Tinsley G. An extraordinarily large asymptomatic submandibular salivary calculus. Br Dent J 1989;166:199.
9. Leung AK, Choi MC, Wagner GA. Multiple sialoliths and a sialolith of unusual size in the submandibular duct: A case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87:331?3.
10. Mandel L, Hatzis G. The role of computerized tomography in the diagnosis and therapy of parotid stones: A case report. J Am Dent Assoc 2000;131:479?82.
11. Cawson RA, Odell EW. Neoplastic and non?neoplastic diseases of the salivary glands. In: Essentials of Oral Pathology and Oral Medicine. 6th ed. Edinburgh: Churchill Livingstone; 1998. p. 239?40.
12. Cockrell DJ, Rout PG. An adverse reaction following sialography. Dentomaxillofac Radiol 1993;22:41?2.
13. Thoma KH, Gorlin RJ, Goldman HM, editors. Thomas’ Oral Pathology. St. Louis: Mosby; 1970.
14. Paul D, Chauhan SR. Salivary megalith with a sialo?cutaneous and a sialo?oral fistula: A case report. J Laryngol Otol 1995;109:767?9.
15. Baurmash HD. Submandibular salivary stones: Current management modalities. JOral Maxillofac Surg 2004;62:369?78.
16. Walvekar RR, Bomeli SR, Carrau RL, Schaitkin B. Combined approach technique for the management of large salivary stones. Laryngoscope 2009;119:1125?9.