Salivary calculi and chronic sialoadenitis of the submandibular gland: A radiographic and histologic study

Isacsson, Gunnar; Isberg, Annika; Haverling, M; Lundquist, Per‐G.

doi:10.1016/0030-4220(84)90090-2

Cited by 68 publications

(37 citation statements)

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“…Plain radiographs are useful in showing radiopaque stones. It is very uncommon for patients to have a combination of radiopaque and radiolucent stones and 40% of parotid stones may be radiolucent [15]. Sialography is thus useful in patients showing signs of sialadenitis related to radiolucent stones or deep submandibular stones.…”

Section: Bulut 627mentioning

confidence: 99%

Unusually large sialolith of submandibular gland

Bulut¹

2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.com Unusually large sialolith of submandibular glandHaci Taner Bulut ABSTRACT Introduction: Pathologically sialolithiasis is a disease which results in the obstruction of a salivary gland by a sialolith. Sialolith is generally seen in small size and their sizes range from 1 mm to 1 cm. Large salivary gland calculi are infrequent and defined as the size of 1.5 cm or larger. Only a few cases of large sialolith of the submandibular glands have been reported in literature. Imaging methods have an important role in making a diagnosis and in planning further management, operative or otherwise. Case Report: A 52-year-old male patient with multiple stones in the submandibular gland admitted to our hospital with swelling at submandibular region. Plain films show large stones at the region of submandibular gland. The maximum stone size was 1.8x0.8 mm. Submandibular gland size increased due to the sialoadenitis caused by stones. After surgery, the patient had a nearly normal function of the glands for three months. Conclusion:The swelling which is seen in the submandibular region most commonly originates from sialolithiasis of submandibular gland, so it should be carefully evaluated by clinicians. Diagnostic imaging methods may complement each other in examining glands with sialolithiasis and may offer a promising diagnostic strategy for treatment and follow-up studies in sialolithiasis.

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Section: Bulut 627mentioning

confidence: 99%

Unusually large sialolith of submandibular gland

Bulut¹

2014

IJCRI

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“…Зачастую заболевание начи-нается остро, с высокой лихорадкой и лабораторными признаками воспаления. ХСС необходимо дифференци-ровать с БМ, БШ, лимфомами слюнных желез, саркоидо-зом, AL-амилоидозом, фиброгистиоцитарными опухоля-ми и неоплазмами [74][75][76][77][78][79][80][81]. ХСС считается редким заболе-ванием, однако этот факт может быть обусловлен сложно-стями диагностики, ведь на данный момент единствен-ным способом получения ткани ПЧСЖ является ее удале-ние -достаточно сложная и опасная операция.…”

Section: поражение слюнных желез и орбит при Igg4-связан-ных системныunclassified

IgG4-LINKED SYSTEMIC DISEASE. MODERN OUTLOOK ON «OLD» DISEASE

Седышев¹,

Vasiliev²,

Kovriguina³

et al. 2012

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“…However, multiple sialoliths in the same duct or gland are common [4]. Submandibular gland sialoliths have been reported to be radiopaque in 80-94.7% of cases [4,7,8].…”

Section: Review Of Literaturementioning

confidence: 99%

“…However, multiple sialoliths in the same duct or gland are common [4]. Submandibular gland sialoliths have been reported to be radiopaque in 80-94.7% of cases [4,7,8].Although the exact cause of sialolithiasis remains unclear, some sialoliths may be related to dehydration, which increases the viscosity of the saliva; reduced food intake, which decreases the demand for saliva [9]; or certain medications that lower the production of saliva, such as anti-histaminics, anti-hypertensives and anti-psychotics, and antidepressants [9,10]. The lack of saliva can also be caused by several circumstances, including aging, Sjogren's syndrome, and radiotherapy of the head and neck region [10].…”

mentioning

confidence: 99%

“…Sialoliths in ducts appear as elongated or smooth cylindrical radiopaque structures, and round or oval when located within the gland [4]. The reported incidence of radiolucent submandibular sialoliths is 20-43% [8]. The other advanced imaging modalities also used include: sialography [22], xeroradiography (especially for radiolucent sialoliths) [3], ultrasonography [1], scintigraphy [26] and computerized tomography and magnetic resonance imaging [27].…”

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confidence: 99%

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A Large Sialolith Perforating the Wharton’s Duct: Review of Literature and a Case Report

Parkar

Vora

Bhanushali

2011

J. Maxillofac. Oral Surg.

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Sialolithiasis accounts for the most common cause of diseases of salivary glands. The majority of sialoliths occur in the submandibular gland or the Wharton's duct. This article discusses review of literature, predisposing factors, signs and symptoms, diagnostic methods and various modalities available for the management of sialolithiasis. This case report presents a case of sialolith of a large size in the left Wharton's duct, which was explored and removed via an intra-oral approach.Keywords Sialolithiasis Á Wharton's duct Á Transoral sialolithotomy Sialolithiasis, also called salivary calculi or stones, is the occurrence of calcareous concretions in the salivary ducts or glands [1]. Sialolithiasis accounts for more than 50% of the diseases of major salivary glands, and is the most common cause of acute and chronic infections of the salivary glands [2]. Review of LiteratureSialolithiasis usually occurs from the third to fifth decade of life, and slightly more often in males (4:3) [3-5], and is rare in children [4, 5]. The reported incidence of sialolithiasis is 80-94% in submandibular duct or gland, 5-18% in parotid gland, and 2% or less in sublingual gland [4].The most common site is submandibular gland and Wharton's duct, probably, as a consequence of mucinous saliva, a tortuous duct, gravity, and the small orifice of the duct [6]. Simultaneous sialolithiasis in more than one salivary gland is rare [2]. Sialolithiasis occurs in the sublingual and minor salivary glands and ducts in the decreasing order of frequency [1]. The right and left glands and ducts are equally affected [3,4], although bilateral occurrence is rare [4]. However, multiple sialoliths in the same duct or gland are common [4]. Submandibular gland sialoliths have been reported to be radiopaque in 80-94.7% of cases [4,7,8].Although the exact cause of sialolithiasis remains unclear, some sialoliths may be related to dehydration, which increases the viscosity of the saliva; reduced food intake, which decreases the demand for saliva [9]; or certain medications that lower the production of saliva, such as anti-histaminics, anti-hypertensives and anti-psychotics, and antidepressants [9,10]. The lack of saliva can also be caused by several circumstances, including aging, Sjogren's syndrome, and radiotherapy of the head and neck region [10].The predisposing factors are: alkaline pH of saliva, increased calcium concentration in the saliva of submandibular gland, and the tortuous course of the duct [4]. Some other factors inherent to the submandibular gland are: longer and larger caliber of the duct, flow against gravity, slower flow rates and higher mucin content of the saliva [11]. The formation of sialolith is not related to any systemic derangement in calcium or phosphate metabolism [12].A study conducted by Sheman and McGurk [13] indicated no link between water hardness and sialolithiasis or sialadenitis, suggesting that high calcium intake might not lead to sialolithiasis. Patients with gout and patients on diuretic therapy may be predi...

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Salivary calculi and chronic sialoadenitis of the submandibular gland: A radiographic and histologic study

Cited by 68 publications

References 7 publications

Unusually large sialolith of submandibular gland

Unusually large sialolith of submandibular gland

IgG4-LINKED SYSTEMIC DISEASE. MODERN OUTLOOK ON «OLD» DISEASE

A Large Sialolith Perforating the Wharton’s Duct: Review of Literature and a Case Report

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