Case of foreign body in Wharton's ductcausing silolithiasis

Bhavesh, Modi

doi:10.1007/bf02907699

Cited by 3 publications

(5 citation statements)

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“…That is why foreign bodies are possible in the duct, and infrequent published cases reported splinters, gold filament thread, barb‐like metallic body, facial hair, fingernail sliver, and mainly fish bones in the duct 26–29 . As an infrequent event, a foreign body may trigger the formation of a sialolith 30–32 . Again, we want to stress the fact that the duct can be short from birth 22,23 .…”

Section: Discussionmentioning

confidence: 98%

“…[26][27][28][29] As an infrequent event, a foreign body may trigger the formation of a sialolith. [30][31][32] Again, we want to stress the fact that the duct can be short from birth. 22,23 Our results further demonstrated that a newly created orifice and a shortened duct do not stimulate drooling, sialoadenitis, and increase the danger of foreign bodies in the duct.…”

Section: Discussionmentioning

confidence: 99%

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Comparative analysis of approaches to the Wharton's duct during surgery of the submandibular gland: A retrospective case–control study

Vaiman,

Mizrakli,

Gavriel

2024

Clinical Otolaryngology

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IntroductionWe investigated complications and recurrence rates after surgical techniques for sialolith removal with intact and resected Wharton's duct of the submandibular gland.MethodsThe retrospective case–control analysis of a series analysed 271 surgical operations (2003–2022) for sialolithiasis performed at a hospital department of Otolaryngology—Head and Neck Surgery. The study compared two approaches: (1) pure endoscopic technique or pinpoint stone removal with Wharton's duct left intact and (2) transoral duct dissection or pinpoint stone removal technique, after which the duct was shortened. While choosing the surgical option, the size of the stone, the location of the stone, and the presence of multiple stones were taken into account. The rates of complications (lingual nerve paraesthesia, duct stenosis, drooling, and sialoadenitis), the incidence of foreign bodies, and the rate of recurrence during follow‐up of ≥18 months were compared.Results323 sialoliths were removed from 271 patients. Of these 323 calculi, 150 were removed by the first approach and 173 by the second approach. The calculi varied in diameter from 2 to 38 mm with an average diameter of 8.2 mm. For all 271 patients, the rate of recurrence was 4.8%, but 11 recurrent cases (8.7%) appeared after the first approach surgeries and 2 cases (1.4%) after the second approach surgeries (p = .03). Other variables did not show statistically significant differences.ConclusionsSurgical removal of the submandibular calculi, ending with shortening of Wharton's duct, reduces the recurrence rate for sialolithiasis but does not affect the rate of postsurgical complications.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Comparative analysis of approaches to the Wharton's duct during surgery of the submandibular gland: A retrospective case–control study

Vaiman,

Mizrakli,

Gavriel

2024

Clinical Otolaryngology

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“…Others were intruded upon eating the food, like fish bones. 6,7,[16][17][18] And a lot of foreign bodies of completely unexpected origin like metal wire 19 , blade of grass 20 or thorn 4 .…”

Section: Discussionmentioning

confidence: 99%

“…25 10 Thorn 1 2005 Case of foreign body in Wharton's duct causing silolithiasis. 4 11 Fish bone 1 2009 Fish bone-induced sialolith. 9 12 Facial hair 1 2014 Unusual case of a sialolith: a case report.…”

Section: Discussionmentioning

confidence: 99%

“…1 Incredibly different foreign bodies inside the Wharton`s ducts have been found and reported. Fingernail, 2 vegetal nidus, 3 thorn, 4 piece of hair, 5 fish bone, 6,7 metal body, 8 and other particles are published as foreign bodies of the submandibular gland duct which caused obstructive sialadenitis. In some foreign body cases, for example a fish bone, it was connecting several sialoliths.…”

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confidence: 99%

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Foreign Body Retrograde Migration to the Intraglandular Duct of the Submandibular Gland with a Developing of Foreign Body-induced Sialolithiasis: Analysis of Ultrasonography, Surgery, and Literature Published during Last 124 Years

Savchuk

Nozhenko

2020

J. Diagn. Treat. Oral Maxillofac. Pathol.

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We present a unique case of a vegetal foreign body retrograde migration to the intraglandular duct of the submandibular gland with a developing of foreign body-induced sialolithiasis in a 61-year-old woman. Analysis of ultrasound examination and operation are performed. Our foreign body`s case represents an intermediate stage of complete sialolith formation around the foreign body nidus (synonym: scaffold). The paper summarizes the analysis of 28 cases with foreign body-induced sialoliths (27 cases from literature and a case of our team). Literature review which was based on the studies published during the last 124 years gave a possibility to classify the development of the ‘foreign body-induced sialolithiasis’ in 4 consecutive stages. Our case of the foreign body-induced sialolithiasis represents a second stage of this pathologic process when nidus is partially covered by calcifications.

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