Oral surgery: Self-milking the sialolith

Bhansali, Sqn. Ldr. Anvita; Sarrami, N.

doi:10.1038/sj.bdj.2016.114

Cited by 1 publication

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“…A conservative and occasionally successful method of ductal calculi removal has been accomplished by massaging the affected region along the floor of the mouth to "milk" out the stone. 28 Symptomatic patients with ductal sialoliths may warrant minimally invasive surgery, sialolithotripsy or endoscopic extirpation. 29 Parenchymal stone removal usually requires sialoadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

2021

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Approximately 1%-2% of adults develop sialolithiasis (salivary stone or calculus) in the major salivary glands. 1 Seventy-two per cent to 95% of salivary stones occur within the submandibular gland (mean size = 4.9 mm), 4%-28% within the parotid gland (mean size = 3.2 mm) and only 0%-6% within the sublingual gland (mean size = 5.3 mm). [2][3][4] The mean age of affected patients ranges from 43 to 50 years and without gender predilection. 5 Bilateral sialolithiasis has been seen in 0.5%-2.2% of various subpopulations. 6 Smaller sialoliths are often asymptomatic, whereas larger stones may hinder salivary outflow, producing glandular pain, swelling and infection; sialoliths within the submandibular and sublingual glands may also cause dysphagia, speech difficulty and, infrequently, ulceration of the overlying oral mucosa. 7,8 Moreover, salivary stones exceeding 15 mm in length, designated as giant sialoliths or megaliths, may generate contralateral ghost images and create interpretation difficulties. 9Although there are numerous articles on sialolithiasis in a variety of oral and maxillofacial publications, limited information is available in the geriatric dental literature. To expand the knowledge of obstructive sialopathy in the older-aged population, the following report describes the unusual radiographic and clinical findings of a 63-year-old asymptomatic man with 2 ipsilateral giant sialoliths, 1

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Section: Discussionmentioning

confidence: 99%