Salivary megalith with a sialo-cutaneous and a sialo-oral fistula: a case report

Paul, Dharam; Chauhan, Shailja

doi:10.1017/s0022215100131263

Cited by 43 publications

(31 citation statements)

References 2 publications

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“…The largest reported stone in the submandibular duct was about 55 mm in length [15]. The salivary sialoliths, in both our cases, are comparable to the other giant sialoliths reported in the literature.…”

Section: Discussionsupporting

confidence: 84%

Submandibular giant sialoliths—2 case reports and review of the literature

Krishnan

Gehani

Shehumi

2009

Indian J Otolaryngol Head Neck Surg

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Sialolithiasis is one of the most common diseases of the salivary gland. The submandibular gland and its duct appear to be the most susceptible. However, giant sialoliths have rarely been reported in the literature. Two case reports of giant sialoliths in the submandibular duct alone are presented. In both patients, a transoral removal of the stone was done under local anesthesia. The stones were 35 mm and 25 mm long, respectively. Follow-up showed asymptomatic and normal functioning glands. The etiology, pathogenesis and management of such giant sialoliths are discussed.It is interesting to note that both patients remained relatively asymptomatic in spite of such long-standing sialoliths. The glands also recovered normal function quickly following removal of stones, which is interesting as such longstanding stones usually produce irrereversible functional damage to the gland. A conservative approach to the gland will spare the patient the morbidity associated with gland removal.

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Section: Discussionsupporting

confidence: 84%

Submandibular giant sialoliths—2 case reports and review of the literature

Krishnan

Gehani

Shehumi

2009

Indian J Otolaryngol Head Neck Surg

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“…The largest reported being 55mm in length. 12 Diagnosis of sialolithiasis is easy due to simple and obvious clinical features, but sometimes sialolithiasis of the submandibular gland can be completely asymptomatic. Common symptoms vary from painless-to-severe pain with large glandular swelling with moderate discomfort accompanied by trismus and usually associated with eating food.…”

Section: Discussionmentioning

confidence: 99%

Sialolithiasis- A Report of Two Cases and Review

Rathore¹,

Chakravarthy²,

Sunder³

et al. 2016

jemds

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Salivary gland calculi account for the most common disease of the salivary glands, and may range from tiny particles to several centimetres in size. The majority of sialoliths occur in the submandibular gland or its duct and is a common cause of acute and chronic infections. While the majority of salivary stones are asymptomatic or cause minimal discomfort, larger stones may interfere with the flow of saliva and cause pain and swelling. This case report describes two patients presenting with submandibular gland sialolith and also provides a literature review regarding the salivary sialolithiasis. KEYWORDSSialolith, Submandibular Gland, Sialolithotomy. HOW TO CITE THIS ARTICLE: INTRODUCTIONSialoliths are calcified organic matter that forms within the secretory system of the major salivary glands. 1 These are calcareous deposits in the ducts of major or minor salivary glands or within the glands themselves. Sialolithiasis is a pathological condition caused by the obstruction of a salivary gland or its excretory duct by a calculus. It accounts for more than 50% of diseases of the major salivary glands and is thus frequently the cause of acute and chronic infections. Most common diseases of submandibular gland are seen in middleaged adults with male predilection. Males are affected twice as much as females. 2 It is often seen in submandibular gland (80-92%) followed by parotid gland (6-20%), sublingual and minor salivary glands (1-2%). 3 Intraductal stones occur more commonly than intraglandular stones. 4 The incidence being 12 in 1000 persons for the adult population. 5 The concentration of mucus is higher in the submandibular gland, accounting for the viscous nature of its secretions relative to the other salivary glands. This increased viscosity and subsequent relatively slower flow contributes to the propensity for submandibular salivary gland calculi.We are reporting two cases of submandibular gland sialolith and review of the literature regarding the salivary sialolithiasis.

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“…Mean size is reported as 6 to 9mm 11 . A review of literature in 2007 found only 16 reported cases of sialoliths having a size up to 3.5cm 10 .…”

Section: Discussionmentioning

confidence: 99%

Rare Giant Submandibular Gland Calculus: A Case Report

Goyal¹,

Salim²,

Saini³

2013

jemds

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Salivary gland calculus / Sialolithiasis is the most common disease of the salivary glands. Sialolithiasis is most commonly found in the submandibular gland and it's duct (Wharton's duct). Giant salivary gland stones measuring over 3cm are extremely rare with only scanty reported cases 1 . This report describes the case of a patient who had a painless very rare giant Submandibular sialolith visible per orally on the floor of mouth. A 5× 2 cm sized stone was excised. INTRODUCTION:Sialolithiasis (also termed salivary calculi, or salivary stones), is a condition where a calcified mass forms within a salivary gland. The term is derived from the Greek words sialon (saliva) and lithos (stone), and the Latin -iasis meaning "process" or "morbid condition".Sialolithiasis is the most common disease of salivary glands 1 . Stones or calculi can be found in all major and minor salivary glands and their ducts. More than 80 % of the calculi are found in Submandibular gland and its duct (more common) 2 . Parotid gland accounts for 10% of cases. Remaining cases involve Sublingual and minor salivary glands 2 .Submandibular calculi are most commonly seen in young and middle aged adults with equal affection of both sexes 3 . Longer and upward course of the submandibular duct, non-dependent drainage, high calcium and mucin content, more viscid secretion are the factors which favour the formation of submandibular duct stones 3 . Bilateral or multiple gland sialolithiasis occurs in less than 3% of cases 4 .Commonly sialoliths measure from 1mm to less than 1cm. Giant salivary gland stones (GSGS) are those stones measuring over 1.5cm and have been rarely reported. GSGS measuring over 3cm are extremely rare with only scanty reported cases 5 . The aim of this case report is to highlight a case of a very rare giant sialolith.

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Salivary megalith with a sialo-cutaneous and a sialo-oral fistula: a case report

Abstract: A rare case of a salivary megalith with a sialo-cutaneous and a sialo-oral fistula in an elderly man is presented. A brief review of the literature is made.

Cited by 43 publications

References 2 publications

Submandibular giant sialoliths—2 case reports and review of the literature

Submandibular giant sialoliths—2 case reports and review of the literature

Sialolithiasis- A Report of Two Cases and Review

Rare Giant Submandibular Gland Calculus: A Case Report

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