Recurrent Submandibular Sialolithiasis in a Child

Thong, How Kit; Mahbob, Hafiz Mohamad; Athar, Primuharsa Putra Sabir Husin; Kamalden, Tengku Mohamed Izam Tengku

doi:10.7759/cureus.12163

Cited by 7 publications

(14 citation statements)

References 12 publications

(18 reference statements)

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“…It can be asymptomatic at first, but discomfort and pain due to duct contractions in an attempt to eliminate saliva will appear gradually 4 . Symptoms may also be accompanied by the intraoral purulent discharge 1 . Pediatric sialolithiasis symptoms are short due to patients and parents low tolerance to uncomfortable symptoms 5 .…”

Section: Discussionmentioning

confidence: 99%

“…Sialolithiasis occurs when the salivary gland excretory duct is obstructed by calcareous deposits and commonly found in adults, accounts for 30% of all salivary disorders but rarely in children as only 3% of all sialolithiasis cases 1 . The submandibular gland is the most frequently involved site due to its long curvy duct and narrow orifice causing viscous mucinous saliva moves against gravity, resulting in saliva retention 2 , 3 .…”

Section: Introductionmentioning

confidence: 99%

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Histopathology and ultrastructural findings of pediatric sialolithiasis: a brief communication

Mustakim

Nguyen

et al. 2022

JKAOMS

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Sialolithiasis is a condition in which the salivary gland excretory duct is obstructed due to the formation of calcareous deposits and is uncommon in children compared to adults. The treatment modalities range from a conservative approach involving hydration to a surgical approach. Though several studies have analyzed the sialolith micromorphology structures, studies on pediatric sialoliths remain scarce. This brief communication aims to describe the sialolith micromorphology to understand the mechanism of mineralization and growth of pediatric sialoliths. A 6-year-old Korean female presented with swelling under her tongue. The intraoral examination revealed a painless yellowish hard mass beneath the tongue near the Wharton’s duct which was suspected as a sialolith. After receiving the informed consent, the sialolithotomy was performed under local anesthesia. The obtained stone was analyzed through histopathology and transmission electron microscope examinations to understand the mechanism of mineralization and growth of pediatric sialolith. The micromorphology and growth processes of pediatric sialolith remain undescribed. More comprehensive microscopic studies are needed regarding their distinctive characteristics. By expanding knowledge about sialoliths micromorphology, development of new preventive, diagnostic and patient-tailored treatment methods of pediatric sialolithiasis will be enhanced.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Histopathology and ultrastructural findings of pediatric sialolithiasis: a brief communication

Mustakim

Nguyen

et al. 2022

JKAOMS

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“…Salivary stasis secondary to sialolithiasis causes sialadenitis. Incomplete obstruction of the Wharton’s duct leading to recurrent pain aggravated by chewing, complete obstruction causing constant pain, dilatation of the Wharton’s duct proximal to the site of obstruction and edematous submandibular gland or steinstrasse causing fibrosis and atrophy of the gland secondary to long standing obstruction are features of submandibular sialolithiasis [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Role of Ultrasonography Supplemented by Sialendoscopy in Submandibular Steinstrasse Sialolithiasis

Ravikanth¹

2021

Cureus

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The submandibular gland is the most common major salivary gland vulnerable to sialadenitis secondary to sialolithiasis. We report a case of submandibular steinstrasse causing sialadenitis in a 45-year-old male and describe the appearances on high-resolution ultrasonography. Endoscopic-assisted excision of calculi was done. Post-operative recovery was uneventful and the patient was discharged after one week. The patient has been on follow-up for six months with no complaints of recurrence. Multiple stacked calculi within the Wharton's duct is an exceedingly rare occurrence. Steinstrasse creates a dilemma of choice for the intended surgical approach during calculi extraction from the Wharton's duct. Endoscopic guided calculi extraction may be ideal for distally placed calculi along the course of the duct. Submandibular steinstrasse can be a possibility when electrohydraulic or pneumatic techniques have been deployed.

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“…Only small percentages of sialolithiasis cases have been reported in the pediatric population to date [1,2]. Most sialoliths develop in the submandibular gland, with the duct being frequently more affected than the parenchyma, followed by the parotid gland, and small percentages affecting the sublingual and other minor glands [2,3]. Salivary calculi generally consist of an amorphous mineralized nucleus, surrounded by concentric laminated layers of organic and inorganic substances.…”

Section: Introductionmentioning

confidence: 99%

“…This condition affects 0.1%-1.0% of the adult population, typically between the ages of 30 and 60 years, with a higher incidence in males [ 1 ]. Only small percentages of sialolithiasis cases have been reported in the pediatric population to date [ 1 , 2 ]. Most sialoliths develop in the submandibular gland, with the duct being frequently more affected than the parenchyma, followed by the parotid gland, and small percentages affecting the sublingual and other minor glands [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Painless Giant Submandibular Gland Sialolith: A Case Report

Thong¹,

Othman²,

Ramli³

et al. 2021

Cureus

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Sialolithiasis is one of the most common diseases involving the salivary glands. It is a condition that occurs due to an obstruction in a salivary gland or its duct due to a calculus. The formation of a salivary stone is believed to be secondary to the deposition of mineral salts around a nidus, which is frequently associated with a recurrent bacterial infection. Patients with submandibular sialolithiasis usually present with acute swelling over the neck associated with pain, fever, and purulent intraoral discharge. The size of the calculus varies from <1 mm to a few centimeters. The frequency of sialolithiasis is relatively common. It is estimated to affect 12 in 1000 of the adult population. However, the occurrence of giant sialoliths, >15 mm in any diameter, is rare. Here, we describe our experience with a case of giant submandibular sialolithiasis measuring 25 mm presenting as a painless submandibular mass. The patient underwent submandibular gland excision followed by a full recovery.

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Recurrent Submandibular Sialolithiasis in a Child

Cited by 7 publications

References 12 publications

Histopathology and ultrastructural findings of pediatric sialolithiasis: a brief communication

Histopathology and ultrastructural findings of pediatric sialolithiasis: a brief communication

Role of Ultrasonography Supplemented by Sialendoscopy in Submandibular Steinstrasse Sialolithiasis

Painless Giant Submandibular Gland Sialolith: A Case Report

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