An Unusual Case of Submandibular Sialolithiasis in Early Childhood: A Case Report

Abstract

Sialolithiasis is the most common condition of the salivary glands and it is characterized by the development of a calcified structure within a salivary duct. This condition can lead to inflammation, bacterial infection, and abscess. The different forms of management range from the direct massage of the duct to the complete removal of the gland. This report describes an unusual case of submandibular sialolithiasis in a four-year-old girl. The main complaints were pain when eating and swelling in the floor of the mouth. The diagnosis was sialolithiasis in the duct of the submandibular gland. Since the salivary stone was palpable and located in the anterior portion of the duct, a minimally invasive procedure was planned. An excisional biopsy was performed and a unilateral salivary stone was removed. The histopathological analysis confirmed the diagnosis. Although rare in children, understanding the diagnostic process and the different treatment modalities leads to a favorable prognosis.

The submandibular sialolithiasis in an eight-year-old child: a case report

“…5 Sialodenectomy is rarely necessary for the treatment of extensive proximal stone and in cases where there is no improvement after years of obstruction and recurrent inflammation but carrries the risk of damage to the lingual nerve of 1% substantial reduction of the non-stimulated salivary flow, which may affect oral hygiene, risk of the development of dental caries, xerostomia, and the risk of scar formation, alteration in the skin sensation and injury to the gustatory nerves, and transient functional disturbance of the marginal mandibular branch of the facial nerve, which are most often encountered in up to 12.5% of cases, while permanent lesions have been reported in 7% of these cases. 6,8,28 Most sialoliths were removed using a surgical procedure, but in a few cases, they spontaneously migrated out. 5 Sialoendoscopy is another successful treatment for submandibular ductal stones because it reduces the risk of missed stones, nerve injury, and the requirement for sialoadenectomy.…”

“…This condition can lead to inflammation, bacterial infection, and an abscess. 8 The duration of symptoms in paediatric patients was shorter than that in adult patients (1.0 months verses 11.5 months). The most common chief complaints in both groups were swelling, followed by pain.…”