Abstract
BackgroundSalivary gland calculi are common in adults but rare in the paediatric population. It accounts for only 3% of all cases of sialolithiasis. Parotid ductal calculus is rare as compared to submandibular ductal calculus.Case presentationA 3-year-old boy presented with acute painful right parotid swelling with pus discharge from the Stensen duct. Computed tomography revealed calculus obstructing the parotid duct causing proximal ductal dilatation and parotid gland and masseter muscle oedema. The child was treated with conservative measures, and subsequently the swelling and calculus resolved.ConclusionsSmall parotid duct calculus in children may be successfully treated with conservative measures which obviate the need for surgery. We discuss the management of parotid sialolithiasis in children and conduct literature search on the similar topic.
Highlights
Salivary gland calculi are common in adults but rare in the paediatric population
Sialolithiasis is an obstructive disorder of salivary ductal system caused by formation of stones within the salivary gland or its excretory duct [1]
Sialolithiasis is common in adults but rarely seen in the paediatric population, which accounts for only 3% of cases
Summary
Sialolithiasis is an obstructive disorder of salivary ductal system caused by formation of stones within the salivary gland or its excretory duct [1]. Case presentation A 3-year-old Malay boy presented with 5 days history of painful right cheek swelling, which was gradually increasing in size. Oral cavity examination noted pus discharge from the right Stensen duct opening (Fig. 2). The pus was drained manually by external compression and milking from the Stensen duct opening daily He was encouraged to take sialagogue such as orange candy to stimulate salivary flow and drink plenty of fluids to ensure good hydration. The parotid and masseter swelling gradually reduced, and the pus discharge from Stensen duct resolved on conservative medical therapy. He was afebrile since admission, and the pain subsided. An ultrasonography of the parotid gland was performed and revealed normal gland tissue with no calculus seen (Fig. 4). The parents opted for watchful waiting, and there was no sign or symptom of recurrence at 6 months follow-up
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