Sialolithiasis in a 10 year old child

Abstract

Sialolithiasis is often observed in the oral region, and is caused by the development of a calculus in the salivary gland or duct. This disease is mostly seen in adults or young adults, and seldom develops in children. Of all the cases of sialolithiasis, only 3% are seen in the pediatric population. The clinical presentation typically consists of a painful swelling of the involved salivary gland at meal times, as the obstruction is most acute at this time. The clinical signs often lead to an easy diagnosis. The salivary gland most commonly affected is the submandibular gland. In this paper, we have reported the case of a 10 year old female with sialolithiasis of the left submandibular duct. The treatment consisted of the use of lemon and orange drop candies, which stimulated the salivary flow and in turn resulted in the expulsion of stone.

Submandibular Sialolithiasis Perforating the Floor of Mouth: A Case Report

“…Nearly 80% of the submandibular stones are radiopaque and allow detection via imaging (7). Due to the fact that up to 40% of the stones in the parotid gland are radiolucent, conventional or sectional sialography is a very useful test for these patients.…”

A Case Report of Transoral Removal of Submandibular Gland Sialolith

“…8,11 The anterior stones can also be expressed and manipulated through the orifice of the duct with the aid of dilating lacrimal probes if required to open the duct. 13 Whereas the posterior stones reside in the hilum of the gland or sometimes within the gland, such stones are usually removed surgically through an extraoral excision. 8,11,13 Based on the above classification of stones we inferred that this patient had an anterior stone in the duct of the gland which was confirmed by a mandibular occlusal radiograph.…”

“…13 Whereas the posterior stones reside in the hilum of the gland or sometimes within the gland, such stones are usually removed surgically through an extraoral excision. 8,11,13 Based on the above classification of stones we inferred that this patient had an anterior stone in the duct of the gland which was confirmed by a mandibular occlusal radiograph. In case of complete obstruction of the salivary gland or the duct the patient will present with pain and swelling.…”

Fístula extraoral asociada a sialolitiasis en el conducto de Wharton. Reporte de un caso

“…El paciente podría presentar un cólico salival, el cual consiste en un dolor agudo, lacerante y de corta duración que desaparece 15-20 minutos después de su manifestación inicial describen Marwaha & Nanda (22). En este caso hay inflamación dolorosa producida por la retención total de saliva y el espasmo del conducto indica Izurieta et al (1), además de una sensación de presión en el piso de la boca según Oteri et al (11).…”

“…Bernardon et al (12) y Marwaha & Nanda (22) indican que el uso de calor externo, calor interno y enjuagues con jugo de limón o chupar confites o caramelos de naranja o limón, pueden ayudar al desplazamiento y expulsión espontánea de los sialolitos, por la estimulación del flujo salival. El cateterismo por medio de sondas lacrimales introducidas dentro del orificio facilitan la dilatación del conducto y permite su remoción.…”