Abstract

Extraoral approach for removing the intraparotid large sialolith. A case series reports

Highlights

  • Salivary duct lithiasis refers to the formation of calcareous concretions or sialoliths in the salivary duct causing obstruction of salivary flow resulting in salivary ectasia, sometimes even dilatation of the salivary gland

  • More than 80% of salivary sialoliths occur in the submandibular duct or gland, 6-15% occur in the parotid gland and around 2% are in the sublingual and minor salivary glands [3]

  • The exact etiology and pathogenesis of salivary calculi is not known! but it is thought that the more alkaline, viscous, mucus-rich saliva, which contains a higher percentage of calcium phosphates, in addition to the long and sinuous position of Wharton's duct, contributes to stasis making the submandibular salivary system more prone to the development of sialoliths than the parotid gland [4]

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Summary

Introduction

Salivary duct lithiasis refers to the formation of calcareous concretions or sialoliths in the salivary duct causing obstruction of salivary flow resulting in salivary ectasia, sometimes even dilatation of the salivary gland. Parotid gland stone incidence in males to females is 2:1. It generally occurs at 3rd to 6th decades of life. But it is thought that the more alkaline, viscous, mucus-rich saliva, which contains a higher percentage of calcium phosphates, in addition to the long and sinuous position of Wharton's duct, contributes to stasis making the submandibular salivary system more prone to the development of sialoliths than the parotid gland [4] The exact etiology and pathogenesis of salivary calculi is not known! but it is thought that the more alkaline, viscous, mucus-rich saliva, which contains a higher percentage of calcium phosphates, in addition to the long and sinuous position of Wharton's duct, contributes to stasis making the submandibular salivary system more prone to the development of sialoliths than the parotid gland [4]

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