Extremely Large Submandibular Sialolith Removal - A Case Report.

Ann Maxillofac Surg

Department of Oral and Maxillofacial Surgery, The Malabar Dental College, Malappuram, Kerala, India.

Published: December 2022

AI Article Synopsis

  • Sialoliths are hard, calcified deposits in the salivary glands, with giant ones being over 3.5 cm, although most are smaller.
  • A patient experienced two years of pain and swelling in the right submandibular area, worsening during meals, leading to a diagnosis through clinical and imaging studies.
  • A large sialolith was effectively removed using a minimally invasive technique, resulting in symptom relief; newer treatment methods are emerging, but transoral sialolithotomy remains the primary approach.

Article Abstract

The Rationale: Sialoliths are calcified organic matter that form within the secretory system of the salivary glands. They rarely measure more than 1.5 cm. Giant sialoliths are rare and defined as a size of 3.5 cm or larger.

Patient Concerns: Patient complained of the pain and swelling in the right submandibular area for two years with increase in size during meals.

Diagnosis: Based on the clinical and radiological investigations.

Treatment: Sialolith measuring 39 mm and weighing 7.02 g, was removed in a minimally invasive manner through transoral sialolithotomy using diode 810 µm LASER unit under local anaesthesia.

Outcomes: Patient was relieved of the preoperative symptoms and was on follow-up for one year.

Take-away Lessons: Various newer treatment modalities are effective alternatives to conventional surgical treatment of sialoliths. However, transoral sialolithotomy remains the mainstay of management.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9976846PMC
http://dx.doi.org/10.4103/ams.ams_75_21DOI Listing

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Article Synopsis
  • Sialoliths are hard, calcified deposits in the salivary glands, with giant ones being over 3.5 cm, although most are smaller.
  • A patient experienced two years of pain and swelling in the right submandibular area, worsening during meals, leading to a diagnosis through clinical and imaging studies.
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View Article and Find Full Text PDF

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