3D Reconstruction and Prediction of Sialolith Surgery

Abstract

Imaging examinations play an important role in the diagnosis of sialolithiasis, whose symptoms are initially confounded with other diseases. The objective of the present case report is to highlight imaging and processing techniques as well as image analysis for the preoperative assessment and planning of surgical interventions and adequate treatment of massive sialoliths. A 35-year-old male patient presented complaining of pain in the submandibular region and purulent secretions from a lingual caruncle with slightly increased volume in the region. Imaging examinations were ordered as follows: cone beam computed tomography, ultrasonography, and three-dimensional reconstruction, including clinical evaluation. A final diagnosis of sialolithiasis was established. Surgery was indicated and carried out by using a lateral transcervical approach for complete resection of the gland, which was based on the calculation of the total volume of the sialolith, thus increasing the surgery's success.

Considerations of Multi-Imaging Modalities for Diagnosing of Sialolithiasis in the Submandibular Gland: A Case Report

“…Symptomatic sialoliths need to be treated surgically by transoral sialolithotomy (for ductal sialoliths), interventional sialoliths with or without lithotripsy, or excision of the affected salivary glands (for intraglandular sialoliths). [11][12][13][14][15][16] In this case, various modalities were used to establish the final diagnosis of the patient. Some tests aren't really necessary, such as a cervical radiograph.…”

Abscess associated with sialolith in a parotid duct - A case report

“…Moreover, it has become less invasive and requires lower amounts of radiation exposure. [ 7 ] Ultrasonography is also used and is very effective for the diagnosis of salivary calculi. [ 4 ]…”