Sialolith In Duct Research Articles

A jumbo sialolith in small duct

A jumbo sialolith in small duct

Enormous Asymptomatic Intraoral Sialolithiasis: A Case Report.

Sialolithiasis is one of the most common diseases of salivary glands. More than 80% of the sialoliths occur in the submandibular gland. While most of the calculi are less than 10 mm in size, 7.6% are larger than 15 mm and are classified as giant sialoliths. We demonstrate a rare case of asymptomatic giant sialolith in the left Wharton's duct with a total atrophy of the left submandibular salivary gland. A 48-year-old female patient presented with lumping sensation for 1 month. A left mouth floor mass was found accidentally during examination and was later revealed to be a painless sialolithiasis. Image study revealed a giant sialolith in the left Wharton's duct with duct dilatation and left submandibular gland total atrophy. She underwent transoral sialolithotomy with removal of a huge stone, measuring 3.5 × 1.4 cm in size. Sialolithiasis usually presents with typical symptoms of the involved salivary gland, and the size of calculi is usually less than 20 mm. This is a rare case report of an asymptomatic giant sialolith in the Wharton's duct, causing left submandibular salivary gland total atrophy, and its diagnosis and management.

An angulated parotid duct sialolith: Radioimaging in diagnosis

Sialolithiasis is one of the most common diseases of salivary glands and major cause for their dysfunction. It is more common in submandibular glands than in the parotid glands. In this report, the diagnosis and treatment of an unusual angulated parotid duct sialolith in a 25-year-old female in left Stensen's duct are presented with recurrent pericoronitis. Role of soft tissue intraoral periapical radiograph and cone beam computerized tomography in diagnosis and determining location and dimensions of sialolith is discussed.

Sialodocholithiasis - A case report and review

A majority of sialoliths occur in the submandibular gland or its duct and are a common cause of acute and chronic infections. This report describes the case of a patient who had an unusual submandibular gland duct sialolith (calculus) that was completely obstructing the submandibular gland duct (sialodocholithiasis) and the use of the computed tomography and ultrasonography as a diagnostic aid and a surgical guide. Patients with sialolithiasis require definitive surgical treatment in most cases, which results in an excellent prognosis. Along with presenting the case report, this article also reviews the etiology, diagnosis, and various treatment modalities available for the management of salivary gland calculi depending on their site and size.

Spontaneous Discharged Submandibular Gland Duct Sialolith: Α Rare Case Report

Sialolithiasis is the most common pathology of the salivary gland characterized by the development of salivary stones, known as calculi or sialoliths. Sialoliths commonly measure between 5 and 10 mm in size, and all stones over 10 mm can be reported as sialoliths of unusual size. Sialolith of more than 15 mm is defined as giant sialolith and is extremely rare. Most salivary sialolith occurs in the submandibular gland duct, especially located in the distal third of the duct. The main signs and symptoms are local pain and swelling. The treatment option to remove the sialolith is according to its size and location. For giant sialolith, surgical removal with or without the gland excision needs to be considered. Here, we report a case of giant submandibular gland sialolith of 35 mm in greatest dimension. And this is the first reported case of giant salivary gland duct sialolith discharged spontaneously.

Transoral removal of giant Wharton’s duct sialolith: A case report

Transoral removal of giant Wharton’s duct sialolith: A case report

A Large Sialolith in the Wharton's Duct: a Case Report

A Large Sialolith in the Wharton's Duct: a Case Report

Giant Sialolith in the Wharton's Duct: an Unusual Case

Giant Sialolith in the Wharton's Duct: an Unusual Case

Stensen's duct sialolith in a geriatric patient.

Stensen's duct sialolith in a geriatric patient.

Transcervical Removal of a Rare Giant Proximal Wharton’s Duct Sialolith and Submandibular Gland

Transcervical Removal of a Rare Giant Proximal Wharton’s Duct Sialolith and Submandibular Gland

Giant Sialolith of Submandibular Duct

Sialolithiasis is one of the most common diseases of salivary glands and commonly involves submandibular gland and ducts. "Giant sialoliths" typically measure more than 15 mm in any dimension. Here, an unusual case of sialolith in submandibular duct is reported which progressed into a giant sialolith in six months' time is reported. A 42-year-old man presented with complaints of recurrent pain and swelling in the right submandibular area. A large stone was palpable intraorally within the Wharton's duct and intra-operatively, an elongated giant sialolith of 50 mm length was found which is the second largest to be published till date.

Solitary parotid duct sialolith in a patient with Sjörgren’s syndrome: Report of a case

Sjorgren’s syndrome is an uncommon chronic autoimmune disorder that affects exocrine glands. Sialolithiasis is an obstructive salivary gland disease which is also uncommon in the parotid salivary gland. The existing literature has documented the occurrence of multiple calcifications within the parenchyma of the parotid glands in patients with Sjorgren’s syndrome. This report describes the first case of right parotid duct solitary sialolith formation in a 64 year old female patient with Sjorgren’s syndrome. Whether the salivary stone encountered in this case represents an oral manifestation of Sjorgren’s syndrome or is just a co-incidental finding was discussed.

Evaluation of the prevalence of residual sialolith fragments after transoral approach of Wharton's duct.

Transoral submandibular duct sialolith removal is a simple technique with very few complications. Nevertheless, following this procedure, we have observed long-term calculus recurrence in a number of patients. We therefore elected to evaluate these cases. This was a monocentric prospective study performed between November 2013 and June 2014. All patients received surgery for submandibular gland lithiasis by intraoral removal of submandibular duct calculi. Between the day following the procedure and 3 months postsurgery, these patients systematically underwent an ultrasound examination of the submandibular gland. The study comprised 15 males and 15 females aged between 19 and 87 years, of which one male presented with bilateral calculi (n=31). Asymptomatic sialolith fragments were found in 16% of patients. A statistically significant risk (p<0.05) of residual sialolith was demonstrated in cases in which the calculus or multiple calculi fragmented perioperatively. Our aim was to remove the sialolith as non-traumatically as possible and to perform sialendoscopy at the end of the procedure to check the patency of the anterior ductal segment and to ensure that no residual calculus fragments were present despite the loss of fluid tightness subsequent to the opening of the hilum.

Fish Bone Induced Sialolith in Warthon Duct

Fish Bone Induced Sialolith in Warthon Duct

Giant sialolith in the Wharton′s duct

Sialolithiasis is the most common salivary gland disease which has predilection for males and is often seen in adults. Majority of sialolith occur in the submandibular gland and its duct. Giant salivary calculi measure >1.5 cm in size and are uncommon in the salivary ducts. The purpose of this article is to report a case of asymptomatic giant sialolith in the Wharton's duct of a 55-year-old female, which was detected when patient had gone for an Ear Nose Throat examination. Furthermore, literature in English language on giant sialolith in Wharton's duct is reviewed since 1990.

Asymptomatic Large Sialolith of Wharton's Duct

ABSTRACT Aim Giant salivary gland stones (more than 15 mm) considered to be rare and a few of well-documented studies report it. In this literature, we report an asymptomatic, 15 mm sialolith in a 47-year-old man with whole procedure of treatment. Materials and methods A patient without symptom of Wharton's duct sialolith was detected and treated. Occlusal cross-sectional of mandibule film was used to guide of surgery, transoral approach was made to dissection of stone. Results Fifteen millimeters yellow sialolith was obtained, antibiotic therapy done for 1 week was after surgery and 2-month follow-up was done. Conclusion Sialoliths are responsible for the obstruction of salivary secretion. More than 80 to 90% of sialoliths, occurs in the submandibular glandular parenchyma or its duct. There is man predilection in parotid or submandibular sialolith. Giant salivary gland stones (more than 15 mm) considered to be rare and a few of well-documented studies report it. Removal of sialolith with intraloral approach is treatment of choice in the anterior duct submandibular gland. How to cite this article Begom JT, Azimi S, Rankohi ZE. Asymptomatic Large Sialolith of Wharton's Duct. Int J Experiment Dent Sci 2015;4(2):143-145.

Giant Sialolith in Wharton's Duct with Perforation in Oral Cavity: Case Report

The sialolithiasis is a relatively common clinical condition characterized by obstruction of the salivary gland or its excretory duct by a calculus, which receives the name of sialolith. It can occur in any age group, with a slight predilection for men and affects mainly the submandibular gland. The diagnosis is made by the correlation between clinical and radiographic findings, and occlusal and panoramic radiographs are the most suitable for this purpose. This article reports a rare case of perforation of the floor of the mouth by a large salivary calculus in the Wharton's duct, which was removed surgically by intraoral via through of incision in the mouth floor.

Wharton's Duct Sialolith of Unusual Size: A Case Report with a Review of the Literature.

There is an increased incidence of submandibular gland duct developing sialoliths. Among them the sialoliths attaining a size of more than 1.5 cms are rare. Here we present a case with an abnormally sized sialolith in Wharton's duct and a review of the literature about the abnormally sized sialoliths and various anatomical and physiological considerations of the duct which contribute to the higher incidence of sialolith in the duct.

Surgical Removal of a Giant Sialolith by Diode Laser

Giant sialoliths larger than 20 mm are rare. The surgery has to be performed with the minimally invasive method in order to avoid the morbidity associated with the surgical techniques. In this report the surgical removal of a giant sialolith of 25 mm by using diode laser is described. A 57-year-old female was presented with a firm mass in the anterior part of the left side of the floor of the mouth. Following the clinical and radiological examination, the left submandibular duct sialolith was diagnosed. The diode laser was used with a power setting of 810 nm of wavelength, 4.0 W of power, 0.5 ms continuous wave and 1000 Hz of frequency for the incision. The giant sialolith was adequately removed under local anesthesia. The procedure was well-tolerated. The wound healing was uneventful in the postoperative period. By the 10th day after surgery the patient had no complaints and the salivary flow was normal. It was concluded that the use of 810-nm diode laser application is a safe and useful technique. Due to the excellent cutting and coagulation ability, there is a low complication rate, making it an appropriate alternative for this type of surgical procedure.

급성 화농성 이하선염 소아에서 발견된 이하선관 타석증 1예

The parotid gland is well affected by the inflammatory process. Acute suppurative parotitis may originate from a septic focus in the oral cavity, but acute suppurative parotitis in the pediatric population is uncommon. Salivary duct calculi such as Stenson’s duct calculi is the one of possible causes of suppurative parotitis. Because the presence of significant complicated conditions in children, prompt diagnosis and treatment such as surgical removal is needed. We have experienced a case of right supprative parotitis with Stensen’s duct sialolith in 2-year-old male. The right stenson’s duct calculi was diagnosed following axial computed tomography scan. The patient was treated with antibiotic therapy and sialolithotomy was done via intraoral approach. We report this case with a review of the literature. (J Clinical Otolaryngol 2012;23:304-307)