Large Sialolith Research Articles

Giant Sialoloth -A Rare Case Report

Sialolithiasis is the most common disease of salivary glands. Its estimated frequency is 1.2% in the adult population. Sialoliths most commonly occur in the submandibular glands. A history of pain or/and swelling in the salivary glands, especially during meal suggests this diagnosis. For small and accessible stones conservative therapies like milking of ducts with palliative therapy can produce satisfactory results. Surgical management should be considered when the stone/stones are inaccessible or large in size as conservative therapies turned out to be unsatisfactory. In this paper, we present a case of 55-year-old male patient resenting painful swelling and a giant submandibular gland sialolith. The sialolith usually measures from 1 to <10 mm. Giant Sialoliths are classified as those exceeding 15 mm in any one dimension. This case report describes a patient presenting with an unusually large sialolith (megalith), which was in size 2.5 x 3cm, the subsequent patient management, etiology, diagnosis, and treatment.

REAL DOUBLE IMAGES VS REAL DOUBLE OBJECTS: OBJECTS NEAR THE PANORAMIC CENTER OF ROTATION PATH PRESENT CONFUSING IMAGING RESULTS

<h3>Background</h3> A 57-year-old male presented for routine dental care without symptoms. Panoramic imaging depicted a large, laminated radiopacity inferior to the right posterior mandible. A similar image was noted on the contralateral side with a blurred, mirrored orientation. A smaller radiopacity was seen medial to the left larger radiopacity; however, no similar radiopacity was seen on the right. A firm, palpable mass was detected along the right lateral neck clinically, with nothing noted on the left side. <h3>Objective</h3> The aim of this study was to explain the potentially confusing imaging results of a sialolith on the panoramic center of rotation path by reviewing panoramic imaging acquisition principles and comparison with cone beam computed tomography (CBCT) results. <h3>Materials and Methods</h3> Panoramic images and a CBCT volume were acquired for implant planning purposes and for definitive assessment of the initial differential diagnosis based on the panoramic images. <h3>Results</h3> Multiple unilateral vs bilateral sialoliths, tonsilloliths, and calcified lymph nodes were considered after initial panoramic acquisition. CBCT confirmed a large sialolith on the right, with an additional, smaller sialolith in a slightly more anterior location on the left. Because of lack of symptoms, no treatment was recommended, and only periodic follow-up was suggested. <h3>Discussion</h3> Although the formation of real single, real double, and ghost images may be easy to understand, distinguishing among these entities sometimes may be challenging. The double-image area is not confined solely to the midline, and the area expands laterally, depending on the diverging path of the center of rotation. A large sialolith on the right side positioned in the lateroposterior aspect of the double-image area yielded a double image on the contralateral side with a mirrored orientation and similar proportions. The left sialolith yielded only a real single image due to the small difference of the anterior position. Objects just anterior to the double image area, but outside the focal trough, may have a similar blurred appearance to a real double image projected from the contralateral side. Recognizing the wider region of the double-image area, as well as proper patient positioning, is important for accurate diagnosis of real double images vs real double objects.

Radyolojik bulgularla submandibular bezde dev siyalolit: Olgu sunumu

<p class="ql-align-justify">A sialolith is defined as one or more calcific foci in oval or round form within a parenchyma or duct of a salivary gland. It is most commonly seen in the submandibular salivary gland and in the 30-60 age range. A 46-year-old male patient was admitted to the Department of Oral and Maxillofacial Radiology of Istanbul University Faculty of Dentistry for dental treatment.&nbsp;A panoramic radiography incidentally showed a radiopaque formation in the right mandible angulus. No symptoms were detected in the clinically relevant region. A cone beam computed tomography showed a mixed, hyperdense focus in the lingual area in the right angulus region and a sialolith was detected. On ultrasonography, a sialolith was found in submandibular salivary gland duct. Due to the absence of any symptoms, regular followup was provided. The determination of localization and size of the sialolith with clinical and radiographic findings are important in treatment planning. In this case report, we aimed to present the radiological findings of an asymptomatic case of a large sialolith.

Extraoral approach for removing the intraparotid large sialolith. A case series reports

Extraoral approach for removing the intraparotid large sialolith. A case series reports

Dysphagia as the Only Symptom in Submandibular Gland Sialolithiasis: A Case Report

Sialoliths are a common occurrence in salivary glands. Here, we report a case of a giant submandibular gland sialolith in a patient presented with dysphagia as the only symptom. The sialolith measured 24 mm in length and weighed 4.7 g. A preoperative computed tomography scan revealed displacement of the hyoid bone at rest position on the non-affected side. The right submandibular gland that contained the sialolith was extirpated under general anesthesia, following which, the symptoms of dysphagia were resolved. However, no improvement in displacement was noted postoperatively. Dysphagia may have occurred due to disturbances in hyoid bone movements caused by the large sialolith. The absence of any changes in the position of the displaced bone at rest after removal of the sialolith may be attributed to the fixation of the bone in the underlying tissues due to the long-term existence of the sialolith.

GIANT SIALOLITH OF SUBMANDIBULAR GLAND: A CASE REPORT

Sialolithiasis is the most common disease of the salivary glands after mumps. The main site of salivary gland stones formation is the submandibular gland, followed by parotid and sublingual gland. Here, we report the case of a 70-year-old male with giant submandibular gland calculus of size 3.3 cm × 2.1 cm × 1.5 cm with an inflamed gland. We reviewed the literature and found that submandibular gland sialolith measuring 10 mm in greatest dimension is very common, but large sialolith like the one seen in this case is relatively rare and only 18 cases have been reported in the literature with calculus size >3.0 cm till date. The largest reported sialolith was 6 cm in length and had a weight of 50 g. Non-enhanced computed tomography is recommended when salivary stones are suspected.

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

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

Large sialolith of the duct of submandibular salivary gland removed with electric knife

Large sialolith of the duct of submandibular salivary gland removed with electric knife

Unusually Large Sialolith of Wharton’s Duct: A Case Report with Review of Literature

Sialolithiasis is a common disease of the salivary glands and a major cause of salivary gland dysfunction. The dominance of submandibular sialoliths is widely investigated. Giant stones (>15 mm) are rare, approximately every tenth or twelfth of the stones belong to this category. Large sialoliths have been reported in the body of salivary glands; however, they have rarely been described in the salivary ducts. We report a case of a 23 year old female with a giant sialolith occurring solely in the submandibular duct, which was removed via a transoral approach under local anesthesia. On gross examination, the sialolith measured 25 mm. The patient’s gland was managed conservatively with sialagogues and analgesics. The gland recovered normal function quickly, and follow-up showed an asymptomatic and normally functioning gland. Thus, a conservative approach to the gland will spare the patient the morbidity associated with gland removal.

Giant Salivary Calculi of the Submandibular Gland Duct : A Case Report

Giant sialoliths are classified as those exceeding 15 mm in any one dimension.Sialolithiasis is the most common disease of salivary glands and approximately 80% of all reported cases of sialoliths occur in the sub mandibular salivary gland and its duct. A case of unusually large sialolith arising in the submandibular salivary gland duct presented which was removed surgically through per-oral approach.It was measured to be 38 mm along with its greatest length and 15 mm wide.&#x0D; JCMCTA 2016 ; 27 (2) : 81 - 83

Giant Submandibular Duct Calculus: A Case Report

Salivary gland stones (Sialothiasis) most commonly occur in the Submandibular duct. This report describes the case of a patient who had an unusual large submandibular gland sialolith (calculus) that was completely obstructing the submandibular gland duct and the use of the computed tomography (CT) as a diagnostic aid and a surgical guide. Patients with sialolithiasis require definitive surgical treatment in most cases, which results in an excellent prognosis

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.

A large sialolith on the parenchyma of the submandibular gland: A case report.

A 45-year-old female was referred to the Department of Oral and Maxillofacial Surgery with the complaint of pain in the right submandibular region and a dry mouth, which had started one week previously. A clinical examination revealed a swelling and tenderness in the right submandibular region. Panoramic radiography and computed tomography identified a sialolith in the submandibular gland. Surgery on the sialolith was subsequently completed under general anesthesia extraorally. A brownish stone was present in the parenchyma of the submandibular gland, measuring 14×10 mm.

Sialolithiasis in The Submandibular Gland Presenting as an Inflammatory Fibrous Hyperplasia And Secondary Infection in The Floor of The Mouth: Case Report

Sialolithiasis is the development of mineralized structures within excretory salivary ducts or glandular parenchyma. A large sialolith of the left submandibular gland is reported. Man, 55, presented an exophytic, irregular, firm, normochromic, and painful nodule in the left posterior region of the floor of the mouth. The lesion excreted pus and was present for 3 months. He gave a history of calcification in the submandibular gland over 10 years. Panoramic radiographs revealed coalescing radiopacities; submandibular gland ultrasonography showed a 0.2-cm calcification.

Unusually large sialolith of submandibular gland

Introduction: Pathologically sialolithiasis is a disease which results in the obstruction of a salivary gland by a sialolith. sialolith is generally seen in small size and their sizes range from 1 mm to 1 cm. Large salivary gland calculi are infrequent and defined as the size of 1.5 cm or larger. Only a few cases of large sialolith of the submandibular glands have been reported in literature. Imaging methods have an important role in making a diagnosis and in planning further management, operative or otherwise. case report: A 52-year-old male patient with multiple stones in the submandibular gland admitted to our hospital with swelling at submandibular region. Plain films show large stones at the region of submandibular gland. the maximum stone size was 1.8x0.8 mm. submandibular gland size increased due to the sialoadenitis caused by stones. After surgery, the patient had a nearly normal function of the glands for three months. conclusion: the swelling which is seen in the submandibular region most commonly originates from sialolithiasis of submandibular gland, so it should be carefully evaluated by clinicians. Diagnostic imaging methods may complement each other in examining glands with sialolithiasis and may offer a promising

An Unusual Large Submandibular Gland Calculus : A Case Report

kh.motaz@scs-net.org Abstract Salivary gland stones (Sialothiasis) most commonly occur in the Submandibular duct. This report describes the case of a patient who had an unusual large submandibular gland sialolith (calculus) that was completely obstructing the submandibular gland duct and the use of the computed tomography (CT) as a diagnostic aid and a surgical guide. Patients with sialolithiasis require definitive surgical treatment in most cases, which results in an excellent prognosis.

Large intraductal sialolith in Wharton′s duct

Sialolithiasis is one of the most common disease of salivary glands and it has been estimated that it affects 12 in 1000 of the adult population. More than 80% occur in the sub mandibular gland or its duct, 6% in the parotid gland and 2% in the sublingual gland or minor salivary glands and are a common cause of acute and chronic infections. Clinically, they are round or ovoid, rough or smooth and of a yellowish color. They consist of mainly calcium phosphate with smaller amounts of carbonates in the form of hydroxyapatite, with smaller amounts of magnesium, potassium, and ammonia. Sub mandibular stones are 82% inorganic and 18% organic material whereas parotid stones are composed of 49% inorganic and 51% organic material. The organic material is composed of various carbohydrates and amino acids. Bacterial elements have not been identified at the core of a sialolith and this report describes the case of a patient who had an unusual large submandibular gland sialolith (calculus) completely obstructing the sub mandibular gland duct. Patients with sialolithiasis require definitive surgical treatment in most cases, which results in an excellent prognosis.

Surgical management of an unusually large sialolith of the Wharton’s duct: A case report

The estimated frequency of occurrence of sialoliths is 1.2%. They are frequently formed in the submandibular gland. They are commonly less than 10mm in size and rarely larger than 15mm. A 40-year-old female was referred to our department for the assessment of swelling, pain and pus discharge from the left side floor of the mouth. A hard mass was palpable along the left Wharton’s duct. Radiographic and clinical examination confirmed the diagnosis of sialolithiasis of the left submandibular duct. The calculus was removed trans-orally under local anaesthesia. The sialolith measured 18×6mm. Six months after the intervention, the salivary flow was normal.

Intraoral Approach for Removal of Large Sialolith in Submandibular Gland

Sialolithiasis is a benign pathology that occurs most frequently in the submandibular salivary gland due to its anatomic features. Depending on the size and degree of calcification, a sialolith can be visible in radiographic examinations. Patients commonly experience pain and/or edema when the ducts are obstructed. The authors report two cases of sialolithiasis of the submandibular gland after searching for the source of swelling in the submandibular region. The diagnosis was confirmed by clinical and tomographic examinations. Despite the considerable size of the sialoliths, treatment consisted of the removal of the calcified mass using an intraoral surgical approach. The prognosis is often good and there is generally no recurrence of the condition.

Giant salivary calculi of the submandibular gland.

Sialolithasis is the most common salivary gland disease. A case of an unusually large sialolith arising in the submandibular gland is presented, along with a review of the management of giant salivary gland calculi.