Pediatric sialolithiasis is not related to oral or oropharyngeal infection: A population-based case control study using the Korean National Health Insurance Database

Won, Sangchul; Lee, Eun-Kyu; Kim, Hee Jung; Oh, Hye−Keun; Jeong, Han‐Sin

doi:10.1016/j.ijporl.2017.04.015

Cited by 4 publications

(7 citation statements)

References 18 publications

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“…On the other hand, the dominant location of paediatric sialolithiasis mirrors that found in adults. 23,24 Moreover, salivary gland infections related to sialoliths do not appear to recur in paediatric patients. 23 It is also important to perform a careful evaluation of the functioning and anatomy of the gland and duct involved.…”

Section: Discussionmentioning

confidence: 99%

The submandibular sialolithiasis in an eight-year-old child: a case report

Khatri¹

2023

Int J Otorhinolaryngol Head Neck Surg

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Sialolithiasis is a commonly encountered disease of the salivary glands and represents up to 30-50% of all salivary gland diseases. However, the condition is rarely encountered in the paediatric population. The formation of a salivary stone is believed to be secondary to the deposition of calcium salts around a nidus, which is commonly associated with desquamated epithelial tissue or sloughing from a recent bacterial infection. Patients with submandibular sialolithiasis usually present with acute swelling over the neck associated with pain, fever, and purulent intraoral discharge. The calculi were located on the right in 100.0% of paediatric patients. Moreover, 20.0% of paediatric patients exhibited sialoliths in the glands. In this paper, we present the case of an 8-year-old male child who presented with a history of swelling over the right submandibular region since four months and had not responded to the conservative treatment given for the last four months. On examination, a small, rounded salivary calculus was found at the Wharton duct orifice near the papilla. A minimally invasive surgical procedure of intraoral excision of the calculus was done, and the patient was prevented from undergoing surgical excision of the gland. A large number of relatively small and distal sialoliths in paediatric patients can be removed using intraoral retrieval under local or general anesthesia. The clinical evaluation of the entire salivary tract with a high index of suspicion helps in early diagnosis and avoids the development of an abscess and other complications that may require surgical excision of the gland.

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Section: Discussionmentioning

confidence: 99%

The submandibular sialolithiasis in an eight-year-old child: a case report

Khatri¹

2023

Int J Otorhinolaryngol Head Neck Surg

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“…Other differences are the more distal location, relatively smaller sialoliths, and lower recurrence. On the other hand, the dominant location of pediatric sialolithiasis mirrors that found in adults [12] [17]. The low prevalence of sialolithiasis in children may be related to the generally long time required to form a salivary stone, which would explain the higher occurrence in older patients [1] [2].…”

Section: Discussionmentioning

confidence: 99%

“…The low prevalence of sialolithiasis in children may be related to the generally long time required to form a salivary stone, which would explain the higher occurrence in older patients [1] [2]. Moreover, salivary gland infections related to sialoliths do not appear to recur in pediatric patients [12].…”

Section: Discussionmentioning

confidence: 99%

“…The management of sialolithiasis should begin with conservative measures, such as massaging of the salivary gland, stimulation of the gland by eating acidic foods, nonsteroidal anti-inflammatory drugs, and sialogogues. As a consequence, the stone is often spontaneously expelled, especially when it is superficial and mobile [11] [12]. If conservative management is unsuccessful, treatment is dictated based on the size, number, and location of the sialolith.…”

Section: Discussionmentioning

confidence: 99%

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An Unusual Case of Submandibular Sialolithiasis in Early Childhood: A Case Report

Alves¹,

Veiga²,

Coelho³

et al. 2022

OJST

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Sialolithiasis is the most common condition of the salivary glands and it is characterized by the development of a calcified structure within a salivary duct. This condition can lead to inflammation, bacterial infection, and abscess. The different forms of management range from the direct massage of the duct to the complete removal of the gland. This report describes an unusual case of submandibular sialolithiasis in a four-year-old girl. The main complaints were pain when eating and swelling in the floor of the mouth. The diagnosis was sialolithiasis in the duct of the submandibular gland. Since the salivary stone was palpable and located in the anterior portion of the duct, a minimally invasive procedure was planned. An excisional biopsy was performed and a unilateral salivary stone was removed. The histopathological analysis confirmed the diagnosis. Although rare in children, understanding the diagnostic process and the different treatment modalities leads to a favorable prognosis.

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“…Salivary gland calculi vary in size, but 88% are under 10 mm in their largest dimension with only 7.6% greater than 15 mm. Since paediatric sialolithiasis is rare, published articles are limited to case reports and case series. Following a review of the literature, we report an extremely unusual 25 mm parotid sialolith in a two‐year‐old boy.…”

Section: Introductionmentioning

confidence: 94%

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

2019

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Paediatric sialolithiasis is rare, with most sialoliths under 10 mm in their largest dimension and usually found in the submandibular gland. We present a case of a 25 mm parotid sialolith in a two-year-old boy. He presented to the emergency department with recurrent right-sided facial swelling and was admitted for management of suspected parotitis. An ultrasound completed the next day revealed massive dilatation of the right Stensen's duct throughout its length. After 24 h of intravenous coamoxiclav did not relieve symptoms, the patient was listed for examination under general anaesthesia. A 25 mm calculus was dissected from the right parotid duct alongside copious free-flowing pus, with follow-up showing normal healing. This case highlights the importance of not omitting this differential diagnosis in paediatric facial swelling, despite its rarity in children. InvestigationsThe ultrasound report showed a massive dilatation (approximately 7 mm) of the right Stensen's duct Oral Surgery 13 (2020) 135--138.

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Pediatric sialolithiasis is not related to oral or oropharyngeal infection: A population-based case control study using the Korean National Health Insurance Database

Cited by 4 publications

References 18 publications

The submandibular sialolithiasis in an eight-year-old child: a case report

The submandibular sialolithiasis in an eight-year-old child: a case report

An Unusual Case of Submandibular Sialolithiasis in Early Childhood: A Case Report

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

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