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Sialolithiasis is among the most common pathological conditions of the salivary glands. It is characterized by blockage of the salivary gland excretory duct or by the formation of calcareous concretions, resulting in salivary stasis and causing salivary gland swelling. Most sialoliths generally arise in the submandibular gland and duct.

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Partial facial paralysis induced by sialolithiasis of the parotid gland: a case report.

BMC Neurol

March 2024

Cedars Sinai, Department of Neurology, 8700 Beverly Blvd., Los Angeles, CA, 90048, USA.

Background: Facial paralysis due to parotid sialolithiasis-induced parotitis is a unusual clinical phenomenon that has not been reported in prior literature. This scenario can present a diagnostic challenge due to its rarity and complex symptomatology, particularly if a patient has other potential contributing factors such as facial trauma or bilateral forehead botox injections as in this patient. This case report elucidates such a complex presentation, aiming to increase awareness and promote timely recognition among clinicians.

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Sialendoscopic Management and Gland Preservation in an Unusual Case of Extensive Submandibular Sialolithiasis.

J Maxillofac Oral Surg

February 2024

Department of Oral and Maxillofacial Surgery, Trustwell Hospitals, JC Road, Bengaluru, 560002 India.

Article Synopsis
  • - Sialolithiasis is a common condition affecting salivary glands, leading to infections and discomfort due to the formation of stones.
  • - Traditional treatments for large or multiple stones include ductal marsupialisation or gland excision, which can be more invasive.
  • - Sialendoscopy is a newer, less invasive method that can effectively remove stones while preserving gland function, as demonstrated by a case where 13 stones were successfully evacuated from a submandibular gland.
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Salivary stones are termed as sialoliths, and the condition is referred to as sialolithiasis. Pain and swelling in the affected area, especially after eating, occur often. Small, easily accessible stones may be managed with conservative methods, such as milking of ducts, along with palliative care, whereas bigger, more difficult-to-reach stones need surgical removal.

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Sialolithiasis is a common disease characterized by the formation of calculi within the salivary glands or their ducts. Although many cases of large stones located within the submandibular gland have previously been reported, the presence of a giant stone within Wharton's duct is extremely rare. We report the case of a patient who presented with an unusually large stone measuring about 6 cm in the greatest dimension located within Wharton's duct and causing local swelling and pain.

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