Multiple, large sialoliths of the submandibular gland duct: a case report

Abstract

This paper reviews the major clinical and radiographic features of sialoliths and illustrates these with an unusual case of multiple sialoliths within the submandibular gland duct. The differential diagnosis of other calcific structures both within and outside the salivary gland that may mimic a sialolith is also presented.

Incidence and frequency of nondental incidental findings on cone-beam computed tomography

“…We found no parotid sialoliths in this study, and the incidence of these sialoliths is reportedly small, in 10%e20% of all sialoliths (Kesse et al, 1998). The high concentrations of calcium and phosphate and the more viscous mucous content of saliva cause more sialoliths in the submandibular gland (Huang et al, 2009). However, as a diagnostic tool, 3-D imaging is a significant aid in identifying parotid stones (Mandel and Hatzis, 2000).…”

“…However, we did not find this to be predominant in either sex in this study. Sialolithiasis can appear at any age (Huang et al, 2009;Mandel and Hatzis, 2000), with rare cases being reported in children (Bodner and Fliss, 1995). Parotid duct stones are smaller than submandibular stones and occur more frequently in the third and fourth decades of life (Mandel and Hatzis, 2000).…”

Giant Submandibular Sialolith: A Case Report and Review of Literature

“…23 To our best knowledge, the sialolith presented in this case is one of the largest reported to date, as compared with the published data (Table 1). No report has mentioned about the width which in this case was almost an inch.…”

A different approach in removal of proximal Wharton's duct stone: Case report

“…Sialolithes can be identified well in panoramic and periapical radiographs. In case of multiple stones and/or when their positions cannot be clearly detected with routine radiographs; sialography, ultrasound, sialoendoscopy, CT and magnetic resonance sialographies can be helpful for diagnosis (6). In our case, we were benefited from ultrasonography and CT examinations to verify the clinical examination.…”

“…Large sized stones can be palpated inside the duct (5). Although the most commonly used imaging techniques for the diagnosis of sialolithes are occlusive and panoramic graphs, ultrasonography (US) and sialography; recently can be benefited from computerized tomography (CT), magnetic resonance sialography and sialoendoscopy methods too (6). While transoral approach is preferred for the treatment of the stones observed close to the perihilar region of the gland or mouth floor, submandibular gland excision treatment is used for the stones inside proximal duct or parenchyma (7).…”