Abstract
Sialolithiasis is one of the most common diseases of salivary glands and commonly involves submandibular gland and ducts. "Giant sialoliths" typically measure more than 15 mm in any dimension. Here, an unusual case of sialolith in submandibular duct is reported which progressed into a giant sialolith in six months' time is reported. A 42-year-old man presented with complaints of recurrent pain and swelling in the right submandibular area. A large stone was palpable intraorally within the Wharton's duct and intra-operatively, an elongated giant sialolith of 50 mm length was found which is the second largest to be published till date.
Highlights
Sialolithiasis is one of the most common diseases of salivary glands
More than 80% of sialoliths occur in the submandibular gland or its duct, 5-7 % in the parotid and 1-3% in the sublingual gland or minor salivary glands.[3,4,5]
Various treatment options like intraoral removal of stone, interventional sialendoscopy, piezoelectric extracorporal shock wave lithotripsy, endoscopic intracorporeal shockwave lithotripsy and resection of the gland may be selected according to the size, number and location of the sialolith.[2,7,9]
Summary
Pirabu Sakthivel,[1] Rijendra Yogal,[1] Sanjoy Singh,[1] Prateek Sharma,[1] Chirom Amit Singh1 1Department of ENT, All India Institute of Medical Sciences, New Delhi, India
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