Transoral Removal of aGiant Submandibular Sialolith: A Case Report

Hesham Alowaimer¹, Tarek Kasem¹ and Daij AL Daiji^1,

¹Oral Surgery Department, Al-Rass General Hospital, Al-Rass, Saudi Arabia

Cite this paper

Hesham Alowaimer, Tarek Kasem and Daij AL Daiji. Transoral Removal of aGiant Submandibular Sialolith: A Case Report. American Journal of Medical Case Reports. 2018; 6(1):4-8. doi: 10.12691/AJMCR-6-1-2

Abstract

Submandibular salivary glands are commonly affected by sialolith (calculus),with patients suffering pain and swelling, especially at mealtime. Sialoliths and giant calculi larger than 15 mm are rarely reported. This case report presents a 28 mm sialolith which was removed successfully intraorally under local anesthesia (transoral approach; sialolithotomy). There were no complications either during the operation or postoperatively, and the salivary function of the gland remained normal.

Keywords

Sialolithiasis, Submandibular swelling, Sialoliths, Salivary gland obstruction, Minimally invasive surgery

Copyright

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]	Bilahari N, Kumari B, James B, Kuruvila V. Submandibular sialolithiasis: Report of six cases. J Pharm Bioallied Sci. 2013 Jul; 5(3): 240.
[2]	Batori M, Mariotta H, Chatelou H, Casella G, Casella MC. Diagnostic and surgical management of submandibular gland sialolithiasis: Report of a stone of unusual size. Eur Rev Med Pharmacol Sci. 2005; 9(1): 67-8.
[3]	Cho S-H, Han J-D, Kim J-H, Lee S-H, Jo J-B, Kim C-H, et al. Removal of submandibular calculi by surgical method and hydraulic power with curved needle: a case report. J Korean Assoc Oral Maxillofac Surg. 2017 Jun; 43(3): 182.
[4]	Kopeć T, Wierzbicka M, Szyfter W, Leszczyńska M. Algorithm changes in treatment of submandibular gland sialolithiasis. Eur Arch Oto-Rhino-Laryngology. 2013 Jul 9; 270(7): 2089-93.
[5]	Delli K, Spijkervet FKL, Vissink A. Salivary Gland Diseases: Infections, Sialolithiasis and Mucoceles. In: Monographs in oral science. 2014. p. 135-48.
[6]	Kraaij S, Karagozoglu KH, Forouzanfar T, Veerman ECI, Brand HS. Salivary stones: symptoms, aetiology, biochemical composition and treatment. Br Dent J. 2014 Dec 5; 217(11): E23.
[7]	Capaccio P, Marciante G, Gaffuri M, Spadari F. Submandibular swelling: Tooth or salivary stone? Indian J Dent Res. 2013; 24(3): 381.
[8]	Ardekian L, Klein HH, Araydy S, Marchal F. The Use of Sialendoscopy for the Treatment of Multiple Salivary Gland Stones. J Oral Maxillofac Surg. 2014 Jan;72(1): 89-95.
[9]	Lim EH, Nadarajah S, Mohamad I. Giant Submandibular Calculus Eroding Oral Cavity Mucosa. Oman Med J. 2017 Sep 27; 32(5): 432-5.
[10]	Rodrigues GHC, Carvalho VJG, Alves FA, Domaneschi C. Giant submandibular sialolith conservatively treated. Autops case reports. 2017; 7(1): 9-11.
[11]	Erkul E, Gillespie MB. Sialendoscopy for non-stone disorders: The current evidence. Laryngoscope Investig Otolaryngol. 2016 Oct; 1(5): 140–5.
[12]	Pabst G, Strobel K, Zehnder J. The value of the twinkling artefact for the diagnosis of sialolithiasis of the large salivary glands. J Laryngol Otol. 2017 Dec 18; 18: 1-6.
[13]	Foletti JM, Graillon N, Avignon S, Guyot L, Chossegros C. Salivary Calculi Removal by Minimally Invasive Techniques: A Decision Tree Based on the Diameter of the Calculi and Their Position in the Excretory Duct. J Oral Maxillofac Surg. 2018 Jan; 76(1): 112-8.
[14]	Ruiz R, Brygo A, Nicot R, Ferri J. Sialolithiasis Removal under general anesthesia: a descriptive retrospective study in the maxillo-facial surgery department in Lille University Hospital. J Stomatol Oral Maxillofac Surg. 2017 Nov 10; 17: 30203.
[15]	Dong SH, Kim SH, Doo JG, Jung AR, Lee YC, Eun YG. Risk Factors for Complications of Intraoral Removal of Submandibular Sialoliths. J Oral Maxillofac Surg. 2017 Sep 21; 17: 31235.