Sialolithiasis of the Submandibular Gland: Report of Cases

Abstract

Sialolithiasis is the formation of calcific concretions within the parenchyma or ductal system of the major or minor salivary glands, but it most commonly affects the submandibular salivary gland. Sialolithiasis usually occurs in adults aged 30 to 60 years and causes pathognomonic pain during meals. The treatment of sialolithiasis depends on the size and location of the calculi. We present two cases of sialolithiasis of the submandibular gland managed via the intraoral and extraoral approaches, depending on the position of the calculi.

Giant Wharton's duct sialolithiasis causing sialo-oral fistula: a rare case report with literature review

“…[ 4 ] Infections, salivary gland dysfunction, anomalous ducts, foreign body impaction and ductal epithelial metaplasia are other potential causes for sialolithiases. [ 5 ] Two phases of sialolith formation have been described namely central core formation and layered periphery formation. In first phase organic substance bound mineral salts precipitate to form the nidus or core.…”

“…The pain and swelling may remain for hours followed by weeks to months of remission. [ 3 5 ] However submandibular gland sialoliths may be asymptomatic. Recurrent infections of gland due bacterial translocation from duct to gland parenchyma may cause pain and swelling over gland.…”

“…It helps in prevention of new stone formation in salivary glands. [ 5 ] Post-operative medications for adults aim at infection control and analgesia. It usually includes amoxicillin 2 gram/day in divided doses for six days, antispasmodics for six days, analgesics for three days and chlorhexidine mouth wash three times a day for seven days.…”

Sialolitíase submandibular em paciente HIV-positivo fazendo uso de antirretrovirais: relato de caso

“…A glândula submandibular é a glândula salivar mais acometida pela sialolitíase. A localização de seu ducto (Wharton), sua forma anatômica tortuosa, seu pH alcalino e a gravidade podem favorecer infecções retrógradas e a precipitação dos sais de cálcio 15 .…”

A Case of Spontaneous Extruded Giant Size Submandibular Sialolithiasis

“…Tükrük bezlerinde taş oluşumu (sialolithiazis) tükrük bezlerinin en sık görülen hastalıklarından biridir (1). Hastalığa tükrük bezi parankimi ve duktus yapıları içinde biriken kalsifik materyal sebep olmaktadır (2). Hastalığın erişkin yaş grubundaki prevelansı 12/1000 civarında olarak gösterilmektedir (3).…”