Untreated submandibular megalith for over 60 years

Ahmed, Khalid A.; Alfadhel, Alia Khalid; Mohammed, Bayan J.

doi:10.15537/smj.2018.7.22265

Cited by 3 publications

(3 citation statements)

References 8 publications

(12 reference statements)

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“…32,33 Sporadically, practitioners may encounter patients with long-standing neglected giant sialoliths, as seen with an 85-year-old with a 30 × 20 × 15 mm submandibular gland stone of an estimated 60-year duration. 34 Despite recurrent episodes of pain and infection, the patient "refused to undergo any surgery…at his age." Accordingly, practitioners must thoroughly consider the risks of surgical and anaesthetic sequelae versus treatment deferral for sialolith removal in a symptomatic or otherwise asymptomatic, medically compromised older patient.…”

Section: Discussionmentioning

confidence: 99%

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

2021

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Approximately 1%-2% of adults develop sialolithiasis (salivary stone or calculus) in the major salivary glands. 1 Seventy-two per cent to 95% of salivary stones occur within the submandibular gland (mean size = 4.9 mm), 4%-28% within the parotid gland (mean size = 3.2 mm) and only 0%-6% within the sublingual gland (mean size = 5.3 mm). [2][3][4] The mean age of affected patients ranges from 43 to 50 years and without gender predilection. 5 Bilateral sialolithiasis has been seen in 0.5%-2.2% of various subpopulations. 6 Smaller sialoliths are often asymptomatic, whereas larger stones may hinder salivary outflow, producing glandular pain, swelling and infection; sialoliths within the submandibular and sublingual glands may also cause dysphagia, speech difficulty and, infrequently, ulceration of the overlying oral mucosa. 7,8 Moreover, salivary stones exceeding 15 mm in length, designated as giant sialoliths or megaliths, may generate contralateral ghost images and create interpretation difficulties. 9Although there are numerous articles on sialolithiasis in a variety of oral and maxillofacial publications, limited information is available in the geriatric dental literature. To expand the knowledge of obstructive sialopathy in the older-aged population, the following report describes the unusual radiographic and clinical findings of a 63-year-old asymptomatic man with 2 ipsilateral giant sialoliths, 1

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Section: Discussionmentioning

confidence: 99%

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

2021

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“…In these cases, symptoms mainly occur during meals due to the high stimulation of salivary secretion in a partially or totally obstructed gland; however, sometimes, the saliva is filtered by the duct, giving rise to an asymptomatic obstruction (Ahmed et al, 2018;Sengupta & Bose, 2018). Patients with obstruction of the salivary duct frequently present intermittent acute pain associated with the increase in the volume of the affected SG, where the degree of SGP depends on the extent of the obstruction and the presence of a secondary infection (Arifa et al, 2019;Pachisia et al, 2019).…”

Section: Noninfectious Inflammatory Disordersmentioning

confidence: 99%

Characterization of Salivary Gland Pain: A Review of the Literature

Mancilla,

Iturriaga,

Muñoz

et al. 2023

Int. J. Morphol.

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The salivary glands in pathological conditions produce countless different clinical presentations, and due to their complex neuroanatomy, their pain symptoms vary widely. However, in the literature to date, few studies characterize salivary gland pain. The aim of this study was to conduct a literature review concerning the clinical characteristics of pain in various salivary gland pathologies. A literature review was done through a systematic search of scientific articles in the Web of Science (WoS), MEDLINE, Scopus, and Elton B. Stephens Company (EBSCO) databases. The free terms "salivary gland", "parotid gland", "submaxillary gland", "sublingual gland", and "pain" were used along with the Boolean operators OR and AND. The search yielded a total of 1896 articles, of which 60 fulfilled the inclusion criteria and were ultimately included in this review. It is described that pain is a nonspecific symptom of a glandular pathology and is characterized mainly by the location of the pain, which is correlated with the anatomical location of the affected salivary gland. Among the painful salivary gland pathologies, we found inflammatory disorders, including infections, obstructions, disorders secondary to hyposalivation; systemic autoimmune diseases; neoplasms, and neuropathic pain disorders. The diagnosis and management of salivary gland pain require knowledge of the causes and mechanisms of the pain, and it is to recognize the signs and symptoms of salivary gland disorders to be able to diagnose and treat them.

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“…As a result, there are few studies in the relevant medical literature. [6][7][8] A h e a d o f p r i n t…”

Section: Introductionmentioning

confidence: 99%

Detection and Management of Giant Submandibular Gland Sialolith

Mohsin

Riyaz²,

Alqazlan³

2022

Pak J Med Sci

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Sialolithiasis is a disease process involving the formation of conglomerates of calcifications in the ductal system or the parenchyma of the salivary gland. The Submandibular gland is more vulnerable to form sialoliths than the other major salivary glands due to its salivary composition and anatomic factors. The management of sialolithiasis is determined by the dimensions and position of the calculi. Here, we discuss a case of a twenty eight mm submandibular sialolith managed by an intraoral approach. doi: https://doi.org/10.12669/pjms.38.7.5988 How to cite this:Mohsin SF, Riyaz MA, Alqazlan AA. Detection and Management of Giant Submandibular Gland Sialolith. Pak J Med Sci. 2022;38(7):---------. doi: https://doi.org/10.12669/pjms.38.7.5988 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Untreated submandibular megalith for over 60 years

Cited by 3 publications

References 8 publications

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

Concurrent giant sialoliths within the submandibular gland parenchyma and distal segment of Wharton’s duct: Novel case report

Characterization of Salivary Gland Pain: A Review of the Literature

Detection and Management of Giant Submandibular Gland Sialolith

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