Parotid sialolithiasis in a two-year-old boy

Abstract

Sialolithiasis is caused by the obstruction of a salivary gland or its excretory duct by the formation of calcareous concretions or sialoliths; this results in salivary ectasia and provokes subsequent dilation of the salivary gland. Sialolithiasis is relatively common, accounting for 30% of salivary diseases; however, it is rarely observed in childhood. This case report describes a 2-year-old male patient who complained of a painful swelling over the right cheek, and presented with palpable stones and pus discharge from the orifice of the right Stensen's duct. Computerized tomography of the neck confirmed the diagnosis, and the patient received intravenous empiric antibiotics combined with intraoral sialolithotomy. We also provide a review of the spectrum of concepts regarding the pathogenesis, diagnosis, and treatment of sialolithiasis.

Biochemical structure, symptoms, location and treatment of sialoliths

“…In our study, nephrolithiasis was present in 24% of patients with sialolithiasis, which was more frequent than in other studies 6 . Systemic diseases have not been proved to be associated with sialolithiasis except for gout, although its calculi consist mainly of uric acid.…”

“…There is some indication that patients with sialolithiasis are more prone to develop nephrolithiasis 6 . Sialolithiasis has been linked with nephrolithiasis in up to 10% of patients 6 . The aim of the present study was to analyze the biochemical structure, symptoms, size, and location of salivary stones, as well as their coexistence with nephrolithiasis.…”

“…Salivary duct stones may occur in all of the salivary glands, but they are mainly found in the submandibular glands (80–90%), especially the submandibular duct (Wharton duct) because of its long, narrow, and winding transection. Sialolithiasis occurs more frequently in men, with a peak incidence between the ages of 30 years and 60 years 6 . Stones should be differentiated from phleboliths, inflammation of maxillary bones, and calcification of lymph nodes.…”

“…Stones should be differentiated from phleboliths, inflammation of maxillary bones, and calcification of lymph nodes. There is some indication that patients with sialolithiasis are more prone to develop nephrolithiasis 6 . Sialolithiasis has been linked with nephrolithiasis in up to 10% of patients 6 .…”

Case report: giant parotid sialolith presenting in a two‐year‐old boy ‐ an important differential diagnosis in paediatric facial pain

“…Clearly, in the patient we report, the 25 mm calculus was much less likely to spontaneously resolve. Spontaneous passage of calculus through Stenson's duct is also poorly reported in the literature, possibly due to the infrequency of parotid sialolithiasis but also because the buccinator may present a barrier as the duct passes through it. As such, surgical intervention is required, ideally without incision, but if necessary via sialolithotomy or sialodenectomy.…”