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.