Multiple submandibular duct (Wharton’s duct) calculi of unusual size and shape

Krishnappa, Brijesh

doi:10.1007/s12070-010-0018-4

Cited by 5 publications

(11 citation statements)

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“…Seventy to eighty percent of submandibular calculi involve a solitary stone, and submandibular gland calculi were common in people over the age of 40 years. 6 The most common symptoms of submandibular gland calculi are pain and swelling. 6 Sialolithiasis involving the duct may result in symptoms of pain because duct occlusion decreases the salivary flow rate, leading to the accumulation of saliva in gland, which can cause pain due to the pressure.…”

Section: Discussionmentioning

confidence: 99%

“…6 The most common symptoms of submandibular gland calculi are pain and swelling. 6 Sialolithiasis involving the duct may result in symptoms of pain because duct occlusion decreases the salivary flow rate, leading to the accumulation of saliva in gland, which can cause pain due to the pressure. 1 We hypothesized that the location and size of the calculi might be associated with the development of acute symptoms such as pain and swelling.…”

Section: Discussionmentioning

confidence: 99%

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Factors Influencing the Subjective Symptoms of Submandibular Gland Sialolithiasis

Min

Lee

Yang

et al. 2020

Bangladesh J Med Sci

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Objectives: The aim of this study is to evaluate the factors affecting subjective symptoms, especially pain and swelling in submandibular gland sialolithiasis. Methods: We analyzed the computed tomographic (CT) findings of submandibular gland sialolithiasis (stone size/location/ number) and assessed white blood cell (WBC) (neutrophil/absolute neutrophil count) and erythrocyte sedimentation rate (ESR) to elucidate the correlation with subjective symptoms, especially swelling and pain. Results: Of the 82 patients, 45had a solitary stone. Thirty seven patients experienced pain and 73 patients had swelling. The number, location and size of the calculi were not associated with symptoms, especially pain and swelling. From logistic regression analysis, WBC (p=0.048) and the percentage of neutrophils (p=0.027) were associated with the presence of pain, but not swelling. Conclusion: To our knowledge, this is the first study to observe that both the location and size of stone are not significantly related to subjective symptoms, especially pain and swelling in submandibular gland sialolithiasis. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.240-244

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Factors Influencing the Subjective Symptoms of Submandibular Gland Sialolithiasis

Min

Lee

Yang

et al. 2020

Bangladesh J Med Sci

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“…5 Submandibular sialoliths arise mainly due to the tortuous course of the Wharton's duct around the mylohyoid muscle and the increased concentration of calcium and mucin within the saliva, causing stasis. 5 The vast majority of stones present as a single entity, with multiple or simultaneous stones, involving bilateral submandibular glands, being rare; 3-5%. 6 We present a case report of six submandibular sialoliths involving the submandibular glands bilaterally.…”

Section: Introductionmentioning

confidence: 99%

A Necklace of Submandibular Stones: Case Report and Review of the Management of Submandibular Sialolithiasis

Khan¹,

James²

2018

J Pak Dent Assoc

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To present an unusual case of 6 bilateral submandibular sialoliths and a review of the management of submandibular sialothiasis. METHODOLOGY: Presentation of a case report of a 27-year-old gentleman with a 10-year history of bilateral recurrent submandibular sialolithiasis. A literature review of to assess the occurrence and management of submandibular sialolithiasis. RESULTS: The observance of a rare phenomenon of bilateral submandibular sialolithisasis, which only occurs in 3-5 % of cases. CONCLUSION: The vast majority submandibular sialolithiasis occurs as single entities, multiple stones occur in only 3-5% of cases. Newer techniques have emerged for the management of this condition; however traditional methods are still being employed successfully.

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“…Pain and swelling are most common symptoms associated with sialolithiasis, also signs like restricted mouth opening, reduced salivary flow, and purulent discharge can be seen. (2)(3)(4). 80% of submandibular stones are radiopaque; hence sometimes techniques like sialography, computed tomography scan and ultrasound may be neccessary to locate them (5).…”

Section: Introductionmentioning

confidence: 99%

Intraoral Surgical Management of the Multiple Giant Submandibular Sialolithiasis

Yazdani

Mehr

Hashemi

et al. 2018

ABCMed

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Sialolithiasis is considered one of the most common diseases of the salivary gland, mainly affects submandibular glands. In the current case, a 57‑year‑old male complaining of a tender solid mass in the right sublingual area was cadidate to undergo surgical treatment. The patient suffered swelling and pain for 11 months. Imaging revealed multiple unilateral salivary stones in the submandibular glands. The sialoliths were removed through intraoral approach under local anesthesia. Examination revealed four sialoliths, one of them sized larger than 37 mm in length. Beside those giant sialolithes, what makes this case is unique is the patient’s endocrine disorder, the secondary hyperparathyroidism. So it would be plausible to consider checking possible endocrine and electrolyte imbalance in such cases alongside correct selection of surgical treatment plane.

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Multiple submandibular duct (Wharton’s duct) calculi of unusual size and shape

Abstract: Salivary gland stones are most common in the A rare case of multiple submandibular duct (Wharton's duct) calculi of unusual size and shape in a 42-year-old male patient, who presented with pain and swelling in the region small stone comes out into the mouth on its own or with

Cited by 5 publications

References 4 publications

Factors Influencing the Subjective Symptoms of Submandibular Gland Sialolithiasis

Factors Influencing the Subjective Symptoms of Submandibular Gland Sialolithiasis

A Necklace of Submandibular Stones: Case Report and Review of the Management of Submandibular Sialolithiasis

Intraoral Surgical Management of the Multiple Giant Submandibular Sialolithiasis

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