Giant Sialoloth -A Rare Case Report

Abstract

Sialolithiasis is the most common disease of salivary glands. Its estimated frequency is 1.2% in the adult population. Sialoliths most commonly occur in the submandibular glands. A history of pain or/and swelling in the salivary glands, especially during meal suggests this diagnosis. For small and accessible stones conservative therapies like milking of ducts with palliative therapy can produce satisfactory results. Surgical management should be considered when the stone/stones are inaccessible or large in size as conservative therapies turned out to be unsatisfactory. In this paper, we present a case of 55-year-old male patient resenting painful swelling and a giant submandibular gland sialolith. The sialolith usually measures from 1 to <10 mm. Giant Sialoliths are classified as those exceeding 15 mm in any one dimension. This case report describes a patient presenting with an unusually large sialolith (megalith), which was in size 2.5 x 3cm, the subsequent patient management, etiology, diagnosis, and treatment.