Size Of Sialolith Research Articles

Overview of findings on radiographic examination of sialography in patients with sialolithiasis: case serial

Background: Sialolithiasis is the most common salivary gland disease. Salivary gland disease usually occurs in middle age, with an incidence of 12 in 1000 in the adult population. The peak incidence is between the ages of 30 and 50. Sialolithiasis generally occurs in the submandibular gland. Sialoliths can be single or multiple. Diagnosis of sialolithiasis can be based on clinical examination or simple supporting examination in the form of sialography. Case Report: There were 3 patients with the main complaint of pain in the lower jaw area with similar symptoms, such as swelling and discomfort every time they chewed food. In all three patients, conventional plain radiographs were examined, namely Skull AP photos, followed by conventional radiological examinations using water-soluble contrast media known as sialography. Conclusion: Correct diagnosis and determine the appropriate treatment for the patient. Plain AP skull radiographs can be used as an early indication of the presence or absence of sialolith images, although they may not be visible if they are relatively small. Furthermore, sialography examination can become the gold standard in determining the location and size of sialoliths. In these three cases, an opacity or filling defect, accompanied by a dilatation of the proximal duct and even narrowing of the distal lumen of the duct, indicates either partial or total obstruction. An ultrasound examination was performed to confirm the diagnosis. In all three cases, it was found that there was indeed a hyperechoic surrounded by clear anechoic (saliva), thus suggesting a sialolithiasis.

Salivary glands ultrasonography as a diagnostic aid in Sjögren syndrome: A prospective pilot investigation

The aims of this pilot investigation were to calculate the levels of sensitivity and specificity of salivary glands ultrasonography (SGUS) in diagnosing Sjögren syndrome (SS) and to assess the ultrasonographic findings of parotid and submandibular glands. Patients diagnosed with SS or dry mouth and healthy controls were enrolled. Bilateral parotid and submandibular glands were assessed for (1) parenchymal inhomogeneity (PIH), (2) median size of the glands, (3) visibility of glandular posterior borders, and (4) size of sialolith, if present. This study included 34 female patients, of whom 12 had SS (35.3%), 12 had dry mouth (35.3%), and 10 were healthy controls (29.4%). Patients with SS showed higher PIH scores in all glands with the median differences being statistically higher in the right and left parotids and left submandibular glands (P < .001, P=.012, and P < .001, respectively). SGUS, with a PIH cutoff ≥2, showed a sensitivity of 100% and a specificity of 81.6% for detecting SS. The majority of SS had invisible glandular posterior borders (P < .001). Median size of the glands and size of the sialolith did not show any statistically significant differences between groups. SGUS is a noninvasive imaging modality with good sensitivity and specificity that might be valuable as a diagnostic aid for SS.

Caso clínico: Sialolito gigante en el conducto de Wharton.

La sialolitiasis es una afección frecuente de las glándulas salivales mayores, con una frecuencia de aparición del 1.2% en la población mundial, ocurre con mayor frecuencia en la glándula submandibular. Esta se produce debido a la obstrucción de la glándula salival o del conducto de la misma debido a un sialolito. Este cálculo se desarrolla como resultado de un estancamiento de saliva, este proporciona un ambiente idóneo para la deposición de sales y otras sustancias orgánicas formando un cálculo. El tamaño de los sialolitos frecuentemente es de 1 a 10mm y en raras ocasiones se puede apreciar sialolitos gigantes, estos pueden llegan a medir más de 15mm y usualmente se localizan en el conducto de Wharton. En este artículo se reporta un caso de un sialolito de 25mm de diámetro que se localizaba en el conducto de Wharton, el cual no presentaba sintomatología y fue descubierto por un examen de rutina, y el tratamiento que se eligió fue la remoción por vía intraoral.

Large sialolith of left submandibular salivary gland: A case report and literature review

Salivary gland calculi are the most common disease affecting the major salivary glands. Sialoliths are known to be seen in 1.2% of the population, commonly in the submandibular gland. The size of sialolith generally varies from

Sialendoskopie: Diagnostische Möglichkeiten und Therapeutische Optionen

With the improved availability of sialendoscopy (SE) during the last decade the therapeutical concept for sialoliths has remarkably changed. Due to the introduction of SE the diagnostic opportunities could be extended. Before introduction of SE, the diagnostic was focused only on the existence and size of sialoliths. Now, questions like consistence of sialoliths and their mobility in the duct system, stenoses with sialolithiasis-like symptoms as well as the evaluation of the remaining secretory capacity of the involved gland became relevant for the therapeutic decision. Furthermore there are an increasing number of therapeutic opportunities available. For some of these techniques long term experiences are missing so far. On the basis of the review of the current literature and a retrospective analysis of 256 own patients the different techniques and their indication are described. The combination of different therapeutical options of the SE and the still established extracorporal shockwave lithotripsy (ESWL) results in an important reduction of glandular resection in patients with sialolithiasis. Thus, the rate of glandular resection for the glandular submandibular can be decreased to 5 % and for the glandular parotis to 1 %. In summary, the most effective way is a stepwise approach based on the diagnostic tools of SE and including the laser-lithotripsy and ESWL in the treatment of sialolithiasis.

Sialolith of unusual size and configuration: Report of a case

A case of complete obstruction of Wharton's duct by an unusually large sialolith has been reported. There are two interesting observations to be made from this case: First, one must note the great variation in the size of sialoliths which will cause an obstruction. Second, directly related to this great variation in the size of the sialolith is the remarkable adaptability of the duct. Normally, the duct ranges from 1 to 3 mm. in diameter, but in this case, it dilated to accommodate an object 1.5 cm. in diameter.