Tonsilloliths Associated With Sialolithiasis in the Submandibular Gland

Suárez‐Cunqueiro, María Mercedes; Dueker, Juergen; Seoane, Juan; Schmelzeisen, Rainer

doi:10.1016/j.joms.2006.11.014

Cited by 8 publications

(3 citation statements)

References 13 publications

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“…We found only a few reports presenting patients with a combination of pathology of salivary glands and tonsilloliths. 14,15 However, a direct link between those two conditions, as in our case, was never documented. Giudice et al 14 reported the case of a patient who was diagnosed with a left tonsillolith and 2 years prior with lithiasis of the left Wharton's duct.…”

Section: Discussioncontrasting

confidence: 48%

Large tonsillolith associated with the accessory duct of the ipsilateral submandibular gland: support for saliva stasis hypothesis

Pirkl

Filipović

Goranović

et al. 2015

Dentomaxillofacial Radiology

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Tonsillolith is a calcified mass in the tonsil and/or its surrounding tissue, which is considered to be caused by chronic tonsillitis. However, here we hypothesized that a tonsillolith can also be formed by chronic saliva stasis in the tonsillar tissue, without any signs of chronic inflammation. We present the case of a 32-year-old male patient with a large tonsillolith. We reviewed his medical files, pre-operative imaging and intraoperative findings. During a standard tonsillectomy, we encountered a large tonsillolith measuring 3.1 3 2.6 cm. Additionally, a careful dissection of the lower pole of the remaining tonsillar tissue revealed a large fistulous tract filled with saliva. Post-operative examination of the pre-operative CT scan found a hypodense fistulous tract extending from the lower tonsillar pole towards the left submandibular gland, measuring 36 mm in length, which was diagnosed as an accessory duct of the submandibular gland. To our knowledge, this is the first case of a large tonsillolith associated with the accessory duct of the ipsilateral major salivary gland. Furthermore, from the aetiopathological view, this finding supports the saliva stasis hypothesis for formation of the tonsillolith. However, larger studies, including a detailed radiological analysis as in our case, are needed to further investigate this possible aetiology of tonsilloliths.

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Section: Discussioncontrasting

confidence: 48%

Large tonsillolith associated with the accessory duct of the ipsilateral submandibular gland: support for saliva stasis hypothesis

Pirkl

Filipović

Goranović

et al. 2015

Dentomaxillofacial Radiology

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show abstract

“…2,5 It should be kept in mind that these calcified structures are sometimes associated with other lithiasis, such as sialoliths. 15 It is essential to hold a differential diagnosis of radiopaque lesions of the mandible. 5 Advanced imaging techniques such as MRI and CT can provide precise information in the establishment of the final diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Mandibulada Gömülü Yirmi Yaş Dişi ile İlişkili Radyopak Bir Lezyon Olarak Yanlış Teşhis Edilen Bir Tonsil Taşı

Akinci¹,

Karan²,

Ulutürk³

et al. 2018

Turkiye Klinikleri J Dental Sci

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onsilloliths are calcified structures and known to be formed by bacteria and organic debris in tonsillar crypts. 1-5 Small areas of calcifications on tonsils are frequently encountered, and more common compared to larger concentrations and volumes of calcifications, which occur with a much lower incidence rate. 2,4,6,7 During clinical examination, tonsilloliths may be seen as either white or yellow hard objects within the tonsillar area. 1,5,8 They may be single or multiple and seen unilateral or bilateral. 4,8,9 Yet, they are usually encountered unilateral and in a single formation. 1,7 They can cause odor and bad taste besides symptoms such as; otalgia, dysphagia, sore throat and a foreign

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“…Giudice et al [12] describe the case of a 1.0 cm tonsillolith in a patient with a known history of chronic sialadenitis, but do not mention the presence of a corresponding fistula. Suarez-Cunqueiro et al [13] detail the incidental radiographic finding of multiple ipsilateral small tonsillar stones in a patient with symptomatic submandibular sialolithiasis, remarking on the potential similarity in the pathogenesis of tonsillo- and sialolithiasis.…”

Section: Discussionmentioning

confidence: 99%

Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith

Panuganti

Baldassarre

Bykowski

et al. 2017

Radiology Case Reports

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Sialolithiasis is a common salivary pathology, suggested to affect over 1% of the population by postmortem studies. An uncommon complication of sialadenitis and sialolithiasis is the formation of fistulous tracts to other cervicofacial compartments. Submandibular gland sialocutaneous and sialo-oral fistulae have been sparsely described, but a sialo-pharyngeal fistula manifesting as a tonsillolith has yet to be described. We present an unusual case of a 35-year-old male presenting with recalcitrant neck pain and a presumed tonsillolith in the background of chronic submandibular sialadenitis, subsequently demonstrating a salivary fistula through the parapharyngeal space. We offer a thorough review of the literature to highlight the possibility of migratory sialolithiasis and its complications.

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Tonsilloliths Associated With Sialolithiasis in the Submandibular Gland

Cited by 8 publications

References 13 publications

Large tonsillolith associated with the accessory duct of the ipsilateral submandibular gland: support for saliva stasis hypothesis

Large tonsillolith associated with the accessory duct of the ipsilateral submandibular gland: support for saliva stasis hypothesis

Mandibulada Gömülü Yirmi Yaş Dişi ile İlişkili Radyopak Bir Lezyon Olarak Yanlış Teşhis Edilen Bir Tonsil Taşı

Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith

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