Sialolito gigante no ducto da glândula submandibular

Jaeger, Filipe; Andrade, Rodrigo; Alvarenga, Rodrigo López; Galizes, Bárbara Fernandes; Amaral, Márcio Bruno Figueiredo

doi:10.1016/j.rpemd.2012.10.003

Cited by 5 publications

(9 citation statements)

References 12 publications

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“…The sialoliths are normally unilateral and they can be single or multiple. A single sialolith occurs in 75.3% of the cases; two sialoliths occur in 15.6%, three sialoliths occur in 2.9%; and four to eight sialoliths occur in 6.2% of the cases [5]. This case report described the presence of two embedded sialoliths in a male patient aged 50 years, without history of trauma, infection, or inflammation.…”

Section: Discussionmentioning

confidence: 72%

Giant sialolith of submandibular gland: case report

Oliveira

Coradette

Marson

et al. 2016

RSBO

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Introduction: The sialolith, also known as saliva stone or sialolithiasis is a calcified structure which develops inside the salivary ductal system or on the salivary gland parenchyma; it grows gradual, asymptomatic, and slowly. Most of the stones are sized less than 10 mm and only 7% of them are larger than 15 millimeters; those are considered giant salivary gland stones. Objective: This study aimed to report a case of two sialoliths that have merged, forming a giant sialolith, located in the Wharton duct in the left submandibular gland. Methods and Results: Clinical diagnosis was confirmed by occlusal and panoramic radiographs. A surgical removal was performed with intraoral incision under local anesthesia, through sialolith anchorage by suture thread and removal of two sialoliths, sized about 13 mm and 16 mm. Marsupialization suture was performed at the local where the incision was made, forming a new gland duct. Conclusion: The sialolithiasis treatment methods are very different and should be taken into account the affected gland, size and location of sialolith, always opting for the more conservative methods.

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Section: Discussionmentioning

confidence: 72%

Giant sialolith of submandibular gland: case report

Oliveira

Coradette

Marson

et al. 2016

RSBO

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“…Os sintomas do sialólito podem variar por conta do seu tamanho e a região a qual ele está localizado 3,4 . Observado no paciente descrito, a presença de quatro sialólitos em pontos diferentes do ducto, favoreceu ao bloqueio do fluxo salivar e facilitou a concentração de secreção purulenta.…”

Section: Discussionunclassified

“…Clinicamente, durante o exame da região oral do paciente pode-se observar uma região de tumefação guiada por dor ou não, edema, disfonia e disfagia, em algumas vezes a infecção pode estar presente 3 . Os cálculos salivares possuem uma média de menos de 1mm a menos de 1cm, sendo classificado pela literatura, gigante, acima de 3,5cm 4 . Os cálculos podem ter uma aparência ovoide em sua maioria, com coloração amarelada e pode se desenvolver no ducto da glândula ou em seu interior 3,5 .…”

Section: Introductionunclassified

“…Os cálculos podem ter uma aparência ovoide em sua maioria, com coloração amarelada e pode se desenvolver no ducto da glândula ou em seu interior 3,5 . Para o surgimento desses cálculos, alguns fatores são determinantes, como a tortuosidade do ducto, o pH alcalino da saliva, a presença de estreitamento (estenose) ao decorrer do ducto da glândula, e a presença um processo inflamatório no ducto (diverticulose) 4 .…”

Section: Introductionunclassified

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Caso atípico de múltiplos sialólitos no ducto da glândula submandibular

et al. 2021

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A sialolitíase representa uma obstrução da glândula salivar pela formação de uma estrutura calcificada (sialólito) dentro dos seus ductos, ou menos frequentemente, dentro da própria glândula, o que resulta na diminuição do fluxo salivar levando à inflamação e, ocasionalmente, à uma infecção. A literatura relata que cerca de 80 a 90% deles acomete a glândula submandibular. A sialolitíase pode ocorrer em qualquer idade, sendo mais comum em adultos acima dos 40 anos, tendo uma predileção pelo gênero masculino. A presença de múltiplos sialólitos é considerada baixa, principalmente na glândula submandibular. O propósito deste trabalho é relatar o caso de um paciente de 18 anos de idade, que apresentou aumento de volume em região submandibular direita, assim como os episódios dolorosos. A palpação do percurso do ducto da submandibular foi observado um aumento de volume e a sensação tátil endurecida em assoalho bucal do mesmo lado. Com o intuito de se confirmar os achados clínicos foi solicitado uma tomografia computadorizada, na qual foram observadas quatro massas hiperdensas circulares. Os múltiplos cálculos foram removidos por meio de acesso cirúrgico sob anestesia local. O paciente apresentou uma melhoria do quadro inicial e não apresentou complicações. Desta forma o tratamento cirúrgico se mostrou eficaz para o tratamento dos múltiplos sialólitos.

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“…Serupa dengan pasien yang dijelaskan oleh Park, kasusnya sangat jarang karena adanya lebih dari 22 sialolith di dalam dan sekitar kelenjar sublingual, yang biasanya memiliki frekuensi sialolithiasis yang sangat rendah, terutama yang melibatkan beberapa sialolith. 12 Hasil radiografi panoramik menunjukkan massa radiopak dengan batas tegas multipel di daerah submandibula kanan dan hasil ultrasonografi (USG) leher pada kasus ini memperlihatkan massa hypoechoic dan tidak homogen disertai dengan beberapa kalsifikasi di daerah medial kelenjar submandibula. Posisi duktus Wharton yang panjang dan berlikuliku mempengaruhi kelenjar saliva submandibula lebih rentan terhadap pembentukan sialolith.…”

Section: Pembahasanunclassified

<p>Etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula</p><p>Etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis</p>

2021

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Pendahuluan: Sialolithiasis adalah penyakit umum kelenjar saliva. Gejalanya termasuk pembengkakan kelenjar yang terlibat, terutama selama makan, dan nyeri tekan, yang mungkin mereda tetapi dapat kambuh kembali. Sialolith terjadi terutama di kelenjar submandibula (80-90%) dan pada tingkat yang lebih rendah di kelenjar parotid (5-20%). Sialolith bisa tunggal atau jamak. Multipel sialolith di kelenjar submandibula jarang terjadi. Tujuh puluh dari delapan puluh persen kasus memiliki sialolith tunggal, hanya sekitar 5% pasien yang memiliki tiga atau lebih sialolith. Faktor etiopatogenesis terkait dengan pembentukan sialolith adalah obstruksi, penurunan laju aliran saliva, dehidrasi, infeksi kelenjar saliva, dan terganggunya kelarutan kristaloid. Tujuan penulisan laporan kasus ini untuk menjelaskan etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula. Laporan kasus: Seorang wanita 24 tahun datang dengan pembengkakkan dan nyeri pada submandibula kanan. Radiografi panoramik menunjukkan massa radiopak terdefinisi dengan baik dalam submandibula kanan. Interpretasi ultrasonografi menunjukkan massa tak homogen hypoechoic dengan kalsifikasi ganda. Pengangkatan kelenjar submandibula dilakukan dengan pendekatan ekstraoral. Laporan kasus ini menunjukkan Gambaran sebanyak sembilan sialolith di kelenjar submandibula, yang dihilangkan dengan pendekatan ekstraoral. Simpulan: Etiopatogenesis dari pembentukan multipel sialolithiasis pada duktus kelenjar, yaitu faktor mekanis, inflamasi, kimiawi, dan infeksi. Diperkirakan bahwa alkalin serta saliva kental yang mengandung banyak sel mukus, memiliki persentase kalsium fosfat lebih tinggi seperti pada kelenjar saliva submandibula yang mendukung pembentukan sialolith. Pengangkatan kelenjar submandibula beserta sialolith dilakukan sebagai standar baku perawatan dan dapat menghindari kekambuhan. Pasien kontrol kembali satu minggu pasca operasi dengan kondisi baik dan dijadwalkan untuk pemeriksaan radiografis ulang enam bulan kemudian untuk memastikan tidak terjadinya pembentukan sialolith baru di saluran kelenjar saliva.Kata kunci: Multipel, sialolithiasis, kelenjar submandibula. ABSTRACTIntroduction: Sialolithiasis is a common disease of the salivary glands. Symptoms include the glands inflammation, especially during eating, and tenderness, which may subside but may recur. Sialoliths occur mainly in the submandibular glands (80-90%) and to a lesser extent in the parotid glands (5-20%). Sialolith can be singular or plural. Multiple sialoliths in the submandibular gland rarely occur. Seventy out of eighty per cent of cases have a single sialolith. Only about 5% of patients have three or more sialoliths. The etiopathogenetic factors associated with sialolith formation are obstruction, decreasing salivary flow rate, dehydration, salivary gland infection, and impaired crystalloid solubility. The purpose of this case report was to describe the etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis. Case report: A 24-year-old woman presented with inflammation and pain in the right submandibular. Panoramic radiograph shows a well-defined radiopaque mass in the right submandibular. Ultrasound interpretation revealed a hypoechoic homogeneous mass with multiple calcifications. Removal of the submandibular gland was carried out with an extraoral approach. This case report showed the appearance of as many as nine sialoliths in the sub-mandibular gland, removed by an extraoral approach. Conclusion: Etiopathogenesis of the formation of multiple sialolithiasis in the glandular duct are mechanical, inflammatory, chemical, and infectious factors. It is thought that alkaline and thick saliva, which contains many mucus cells, has a higher percentage of calcium phosphate than in the submandibular salivary glands, which support the formation of sialoliths. Submandibular gland removal along with the sialoliths is performed as the treatment standard, which can avoid recurrence. The control visit is carried out one week postoperatively in good condition, and the patient is scheduled for another radiographic examination six months after to ensure that no new sialoliths occurred in the salivary gland.Keywords: Multiple, sialolithiasis, submandibular gland.

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Sialolito gigante no ducto da glândula submandibular

Cited by 5 publications

References 12 publications

Giant sialolith of submandibular gland: case report

Giant sialolith of submandibular gland: case report

Caso atípico de múltiplos sialólitos no ducto da glândula submandibular

<p>Etiopatogenesis dan terapi kasus multipel sialolithiasis kelenjar submandibula</p><p>Etiopathogenesis and treatment of multiple cases of submandibular gland sialolithiasis</p>

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