Sialolith and osteoid osteoma

Abstract

A case of sialolith of the submaxillary gland with a concurrent osteoid osteoma of the mandible has been presented. No significance was attached to the concurrent appearance of both lesions. The osteoma may have been the result of a repair process following mandibular trauma during either a boxing match or a football game. There was some discussion with the pathologist as to whether the mandibular lesion might have represented condensing osteitis or cementoma. However, because of its apparent separation from the apex, the asymptomatic and negative history except for physical trauma, the normal vitality tests, and the microscopic appearance, the diagnosis of osteoma was confirmed. In many cases of sialolith of the submaxillary gland, the lesion may be enucleated intraorally without unnecessary sacrifice of the entire gland. The submandibular scar resulting from the extraoral procedure is thereby also avoided.