Submandibular duct sialolithiasis of unusual size: a case report

Abstract

Sialolithiasis is the most common disease of the salivary glands. Majority of sialoliths occur in the submandibular gland. Considering the literature, most stones are less than 5 mm, and stones more than 10 mm are quite unusual. We present a case report of a 37 year old male who had a stone of 11×8 mm near the orifice of the right submandibular duct which was removed via transoral incision.

Management of ductal sialolith simplified: A new technique

“…[ 5 ] Normally, for surgical management of sialolith, incision is directly placed over the suspected location of sialolith through the mucosa and reaches the duct. [ 6 7 8 ] After the removal of the sialolith, the site is left open or the stent is directly placed into the site, hence creating a new ductal opening or papilla. In this new technique, the incision starts from the location of the sialolith and extends till the natural papilla under the guidance of a periodontal probe.…”