J Korean Assoc Oral Maxillofac Surg.  2010 Apr;36(2):141-144. 10.5125/jkaoms.2010.36.2.141.

Giant sialolithiasis of the submandibular gland: a case report

• Choi WS
• Yoon HJ
• Lee SH

• KMID: 2189998
• DOI: http://doi.org/10.5125/jkaoms.2010.36.2.141

Abstract

Sialolithiasis is the common pathology of salivary gland. The size of sialoliths vary from 1 mm to a few cm, but most of that are less than 10 mm. Large sialoliths (larger than 15 mm) are extremely rare. It is called Giant sialolithiasis or megalith. Symptom of the giant sialolithiasis is similar to that of regular sialolithiasis. First choice of treatment is removal of the stone. Many literatures reported various methods to remove the sialoliths. For this case report, we accidentally found the giant sialolith on the computed tomography taken for dental implant, and successfully removed the stone by minimal invasive surgical approach. Base on this result, we report this case with literature reviews.

Keyword

Giant sialolithiasis; Megalith; Submandibular gland

MeSH Terms

Dental Implants
Salivary Gland Calculi
Salivary Glands
Submandibular Gland
Dental Implants

Figure

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  Fig. 1. A. Transverse view of CT scan, B. Para-axial view of CT scan. (CT: computed tomography)

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  Fig. 2. Pre-operative intraoral view. A firm material was palpated. (arrow)

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  Fig. 3. Macroscopic view of giant sialolith. It measured to be approximately 22 mm in length, 5.5 mm in wide.

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  Fig. 4. A. Post-operative intraoral anterior view (8 month), B. Left side view. (8 month) Scar was formed on operation site, but saliva was discharged to Wharton's duct & operation site. Patient had no clinical symptom. Salivary flow was normal. (Right arrow: Wharton's duct orifice, Left arrow: operation site fistula)

Reference

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