Two Cases of Submandibular Sialolithiasis Detected by Cone Beam Computed Tomography

Taşsöker, Melek; Özcan, Sevgi

doi:10.9790/0853-150810124129

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Sialoliths are believed to have originated due to mineral salt deposition around an original nidus composed of bacteria, salivary mucins, or desquamated epithelial cells, while the exact source is unknown [ 4 ]. A decrease in salivary flow, an increase in alkalinity, and increased calcium levels can all have an impact on the development of sialoliths.…”

Section: Discussionmentioning

confidence: 99%

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Pivotal Role of Ultrasonography and Radiology in Diagnosing a Case of Sialolith

Lanjekar,

Kukde,

Madne

et al. 2023

Cureus

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Sialolithiasis is a condition that affects the salivary glands, which commonly occurs within the body of the submandibular gland or the Wharton duct. This condition is characterised by pain in the submandibular area after meals. Conservative therapies such as duct milking and palliative care can provide positive results for small, easily accessible calculi. This report describes the results of radiographic imaging of a 43-year-old patient with pain and swelling in the submandibular region. During the extraoral examination, a 1.5 cm wide diffuse swelling was present in the left submandibular region, and the left submandibular gland was tender and firm. In addition, a solitary, tender left submandibular lymph node was observed. Intraorally, the opening of the submandibular duct was erythematous and inflamed. The patient was advised for necessary investigations, including an orthopantomogram, cone beam CT, neck ultrasound, and left submandibular gland sialography. Ultrasonography was preferred over other imaging techniques due to its non-invasive nature and high accuracy, sensitivity, and specificity in diagnosing sialolithiasis. Timely management of sialolith is critical as delayed treatment can lead to serious consequences. A conclusive diagnosis of left submandibular sialolithiasis, accompanied by sialadenitis, was made based on clinical, radiographic, and ultrasound findings.

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Section: Discussionmentioning

confidence: 99%

“…For 20% of sialoliths that are not radiopaque, a sialography or sialendoscopy may be required for diagnosis. Unilateral salivary calculi, for the most part, do not produce dry mouth [ 4 ]. This is a case report of submandibular sialolithiasis, with detailed radiological and sialographic findings.…”

Section: Introductionmentioning

confidence: 99%

Pivotal Role of Ultrasonography and Radiology in Diagnosing a Case of Sialolith

Lanjekar,

Kukde,

Madne

et al. 2023

Cureus

View full text Add to dashboard Cite

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Ultrasound in Patients With Clinically Suspected Submandibular Gland Disease

Tangkittithaworn,

Khampaen,

Jaovisidha

et al. 2024

Rama Med J

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Background: The submandibular gland is quite common to be affected by various disease processes in all age groups that may be difficult to differentiate clinically. Its superficial location makes it readily accessible to ultrasound evaluation. Objective: To evaluate sonographic features of abnormal submandibular gland. Methods: Ultrasound images and medical records of patients who presented with clinically suspected submandibular gland disease at a single institution were retrospectively reviewed. Demographic data, final diagnoses, further management, and sonographic findings were evaluated. Results: Eighty-one patients were identified, 56 females and 25 males (mean [SD] age, 53 [16] years; range, 1 - 87 years). The main presenting symptoms were palpable mass (31 [38.3%]) and pain (23 [28.4%]) involving the left (30 [37.0%]), the right (27 [33.3%]), and bilateral submandibular area (24 [29.6%]). Only 6 patients (8.1%) underwent further imaging. The most common final diagnoses were acute sialadenitis (38 [46.9%]), Sjögren syndrome (14 [17.3%]), tumor (6 [7.4%]), and stone (4 [4.9%]). Submandibular glands were normal in 17 of 81 patients (21%); 9 of 17 (52.9%) had abnormal lymph nodes. Among various disease entities, a significant correlation was found between Sjögren syndrome and small gland size, stone and ductal dilatation, and abnormal lymph nodes with enlarged nodal size (P < .001). Conclusions: Two-thirds of the patients had inflammatory/infectious diseases, with tumor and stone in minority. Certain ultrasound findings can suggest diagnosis. Less than 10% underwent further imaging, suggesting that ultrasound can be used to detect and guide further management of submandibular disease.

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Two Cases of Submandibular Sialolithiasis Detected by Cone Beam Computed Tomography

Cited by 2 publications

References 17 publications

Pivotal Role of Ultrasonography and Radiology in Diagnosing a Case of Sialolith

Pivotal Role of Ultrasonography and Radiology in Diagnosing a Case of Sialolith

Ultrasound in Patients With Clinically Suspected Submandibular Gland Disease

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