Submandibular Sialolithiasis in a 9-Years-Old Child: Case Report

Abstract

Sialolithiasis rarely occurs in children; it is observed more commonly in adults. Various treatment modalities for sialolithiasis have been reported in literature; we report the case of 9 years old child, with no particular pathological history. For 4 years, he had a tumefaction of the left submandibular region, associated with painful blocking episodes of salivation and an increase in the size of the tumefaction (accentuated during meals). Clinical examination found a slight painless tumefaction of the left sub-mandibular region, with no pus or blood outflow, no endobuccal expression and no palpable calculi ultrasound examination shows a heterogeneous left submandibular gland, discreetly vascularized by Doppler, with multiple calculi. The patient was operated by cervical approach, a submandibularectomy was performed after detachment of the musculocutaneous flaps, preservation of the artery and the facial vein and the lingual nerve, and dissection of the submandibular canal. Anatomo-pathological study was performed and it showed macroscopically a yellowish enclosed calculus of 3mm of great axis. Microscopically, it shows a salivary glandular tissue with no signs of malignity, in this article, clinical findings, etiologies and different treatment approaches were reviewed.