GIANT SIALOLITH OF THE SUBMANDIBULAR SALIVAR GLAND: CASE REPORT WITH AN EXTRAORAL APPROACH

Abstract

Stone formation or sialolithiasis is a disease of the salivary glands that causes obstruction of the gland or the excretory duct due to a calcified formation that results in specific signs and symptoms in the cervico-facial region. We report a case of large salivary calculi in a 47-year-old woman with complaints of increased volume and pain at recurrent palpation in the left submandibular region radiating to the oral floor, dysphagia. The imaging exams (computed tomography cone beam and ultrasonography) evidenced the presence of large, hyperdense, and calcified mass. After the exams, surgical intervention consisted of excision of the left submandibular gland (including extensive calculus in the glandular parenchyma) through the surgical extraoral access of Hisdon under general anesthesia. There was complaint of paresthesia in the lingual floor that gradually decreased with the postoperative and preservation of the nerve of the marginal mandibular branch. No recurrence was observed. Stone formation or sialolithiasis is a disease of the salivary glands that causes obstruction of the gland or the excretory duct due to a calcified formation that results in specific signs and symptoms in the cervico-facial region. We report a case of large salivary calculi in a 47-year-old woman with complaints of increased volume and pain at recurrent palpation in the left submandibular region radiating to the oral floor, dysphagia. The imaging exams (computed tomography cone beam and ultrasonography) evidenced the presence of large, hyperdense, and calcified mass. After the exams, surgical intervention consisted of excision of the left submandibular gland (including extensive calculus in the glandular parenchyma) through the surgical extraoral access of Hisdon under general anesthesia. There was complaint of paresthesia in the lingual floor that gradually decreased with the postoperative and preservation of the nerve of the marginal mandibular branch. No recurrence was observed.