Abstract

Mealtime Syndrome: Submandibular gland sialolithiasis. A Case Series

Highlights

  • Salivary stone or sialoliths are most common disease of salivary gland

  • Sialoliths may be asymptomatic, or may presents with painless swelling but when duct obstructed patient may present with pain and swelling of the involved gland during eating because saliva production is maximum at this time against a fixed obstruction

  • Third female of 30 year old present with history of postprandial swelling for the last 8 months with disappear one to two hour after meal. Her ultrasound of neck shows hyperechoic foci of 6.3 mm x 3.4 mm in size in the region of right submandibular gland duct, whereas right and left gland appear to be normal in size and shape

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Summary

Introduction

Submandibular gland and its duct constitute 80-95 % of the salivary stone, about 5-20% occur in the parotid gland and only 1-2% in the sublingual gland and the rest seen in the minor salivary gland [1]. Stone can be round or irregular in shape and size varies from 2 mm to 3.2 mm for parotid and 2mm to 4.9 mm for submandibular gland [5]. Sialoliths may be asymptomatic, or may presents with painless swelling but when duct obstructed patient may present with pain and swelling of the involved gland during eating because saliva production is maximum at this time against a fixed obstruction. The treatment plan varies from conservative to surgical management that include transoral sialolithotomy, laser assisted sialolithotomy, extracorporeal and intracorporeal shock wave lithotripsy, sialoendoscopy and basket retrieval, salivary gland excision etc

Case Report
Discussion
Conclusion

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