Sialolithiasis is the most common salivary gland disease. Submandibular sialolithiasis is the most common site. Sialoliths greater than 15 mm in any one dimension is considered as the larger one. Salivary stones with size greater than 30 mm are rare. We report a case of a huge sialolith (approx. 38 mm*30 mm) of the submandibular gland along with the review of literature. Sialendoscopy is newer diagnostic as well as therapeutic modality recently gaining fame. The aim of presenting this case report is to understand etiopathogenesis, clinical presentation and management of submandibular sialolithiasis.
Severe acute respiratory syndrome coronavirus 2 presents with a multitude of different symptoms and signs, most described is respiratory compromise. Many viral and bacterial infections coexist with coronavirus disease 2019 (COVID-19). Many cranial neuropathies have also been reported, including facial nerve palsy and sudden sensorineural hearing loss individually. Ramsay Hunt Syndrome, which is conventionally described as acute peripheral facial neuropathy, associated with erythematous vesicular rash of pinna or external auditory canal can at times present with cochlear or vestibular symptoms along with it. We report the case of a 32-year-old male who presented with Ramsay Hunt syndrome with cochlear manifestation during his COVID-19 illness. Evaluation of the patient and further management have been described.
Kimuras disease is a chronic inflammatory disorder mostly affecting subcutaneous tissue, lymph nodes and salivary glands which has affinity for the Asian population. Histopathologically characterised by a lymphofolliculoid granuloma with infiltration of surrounding tissues by eosinophils, often with concomitant peripheral blood eosinophilia and elevated serum immunoglobulin E. TH2 cells are suspected to play an important role with increased levels of IL-5 and IgE. We hereby present a case of left parotid swelling in paediatric age group which was gradually increasing in size. Radiological investigations showed heterogenous parenchyma with multiple hypoechoeic lesions in parotid. Peripheral blood picture gave normal eosinophil count. Superficial parotidectomy was carried out and final histopathology suggestive of Kimuras disease was made.
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