Multiple bilateral submandibular gland sialolithiasis

Abstract

Sialolithiasis accounts for the most common etiology of salivary gland obstruction which leads to recurrent painful swelling of the involved gland which often exacerbates while eating. Stones may be encountered in any of the salivary glands but most frequently in the submandibular gland and its duct. Simultaneous sialolithiasis in more than one salivary gland is rare, occurring in fewer than 3% of cases. Seventy to 80% of cases feature solitary stones; only about 5% of patients have three or more stones, the case report which we are presenting here had three submandibular sialoliths involving both the submandibular glands which were removed by intraoral approach and no post-operative complications were noted.

Removal of submandibular calculi by surgical method and hydraulic power with curved needle: a case report

“…The precise pathogenesis is still mostly unknown; however, for treatment of sialolithiasis of the Wharton's duct, there are various methods available, the selection of which depends on the calculi location and size as well as the likelihood of complications based on careful consideration of the patient's specific condition and symptoms121314.…”

“…The non-invasive options include hydration of the patient, prescription of sialogogues, and gland massage, all of which can be helpful in promoting salivation and consequent flushing of the calculus712. As for minimally invasive treatment, manipulation using lacrimal probes and dilators to open the duct orifice is useful in order to milk the calculus, manipulate it forward, and then remove it7.…”

“…Sialoliths that are sufficiently small and near the duct orifice can be manipulated and removed. Another minimally invasive method is using sialogogues with gland massage to promote salivation and flush the small sialoliths to the duct orifice7812. Carelessness during this treatment, however, can cause rupture of the duct12.…”

Multiple sialolithiasis in submandibular gland duct: a rare case report

“…When calculus affects the interior of the gland the mineralized masses are arranged as irregular agglomerates, requiring the excision of the gland as treatment [7]. 80 to 90% of cases of sialolithiasis occur in the submandibular gland [7][8][9][10]. The most frequently affected age group is people between 30 and 40 years old.…”

“…The most frequently affected age group is people between 30 and 40 years old. Males are affected twice as often as females [5,9,10]. Simultaneous findings in more than one salivary gland are uncommon, occurring in less than 3% of cases [9].…”