The Migrating Sialolith: a Case Report

Heinelt, Martina

doi:10.1007/s42399-021-00953-w

Cited by 1 publication

(1 citation statement)

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“…Ongoing abscess was the mechanism proposed by previous papers for the migration of sialolith from the salivary gland into the nearby tissue, although no explanation was given on how this occurs 6. Previous reports have hypothesised that sialolith migration from the salivary duct was a result of chronic scarring and inflammation leading to ischaemia in the duct, and the stone is forced through the duct into the surrounding tissue 9. As no sialolith has ever been found in the act of migration, it is difficult to state definitively what is the exact pathophysiology.…”

Section: Discussionmentioning

confidence: 99%

Submandibular sialolith migration

et al. 2023

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A middle-aged male Caucasian had rejected previous offers of surgery for submandibular gland removal in the past due to concerns about surgical complications. He presented with a month’s history of submandibular swelling and severe pain, which impeded his ability to eat. Prior to admission, he had been experiencing intermittent sialadenitis for several months. Cross-sectional imaging demonstrated a 16×12 mm migratory sialolith, located superficial to the right submandibular gland within a large loculated abscess. The patient underwent an incision and drainage of the abscess under general anaesthetic and the sialolith was expressed. He was discharged home with oral antibiotics and was followed up as an outpatient. This case serves to highlight a rare complication of chronic sialolithiasis.

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Section: Discussionmentioning

confidence: 99%