Giant Asymptomatic Sialolithiasis

Sialolithiasis results from obstruction of salivary flow by a sialolith (salivary stone), which may be found anywhere in the ductal system. The incidence of this condition is higher in the submandibular glands, probably because of the anatomical form and physiological features. The present report describes the case of a healthy 54-year-old black female patient in whom a hardened, normochromic, painless swelling on the right side of the floor of the mouth was noticed during routine oral clinical examination. Occlusal radiography revealed an extensive elongated radiopacity in the submandibular region, in association with clinical characteristics suggesting salivary calculus. Surgery was performed to remove the sialolith, which measured 35mm×7.0mm. This case report is relevant due to the absence of symptoms in the presence of an extremely large sialolith.

[1]  J. Harrison.  Causes, natural history, and incidence of salivary stones and obstructions. , 2009, Otolaryngologic clinics of North America.

[2]  P. Brennan,et al.  Recent advances in the management of salivary gland disease. , 2009, The British journal of oral & maxillofacial surgery.

[3]  M. Rai,et al.  Giant submandibular sialolith of remarkable size in the comma area of Wharton's duct: a case report. , 2009, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[4]  J. Hernández-Guerrero,et al.  Giant sialolith: case report and review of the literature. , 2007, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[5]  O. Nahlieli,et al.  Sialoendoscopy: A new approach to salivary gland obstructive pathology. , 2006, Journal of the American Dental Association.

[6]  F. Graziani,et al.  Unusual asymptomatic giant sialolith of the submandibular gland: a clinical report. , 2006, The Journal of craniofacial surgery.

[7]  E. Białek,et al.  US of the major salivary glands: anatomy and spatial relationships, pathologic conditions, and pitfalls. , 2006, Radiographics : a review publication of the Radiological Society of North America, Inc.

[8]  M. McGurk,et al.  Endoscopically assisted operative retrieval of parotid stones. , 2006, The British journal of oral & maxillofacial surgery.

[9]  M. Lopes,et al.  Clinical and histopathological findings of sialoliths , 2005 .

[10]  D. Chapireau,et al.  Lithiasis of minor salivary glands: current data. , 2005, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[11]  A. Ahuja,et al.  Diseases of the submandibular gland as demonstrated using high resolution ultrasound. , 2005, The British journal of radiology.

[12]  H. Baurmash.  Submandibular salivary stones: current management modalities. , 2004, Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons.

[13]  L. Bodner.  Giant salivary gland calculi: diagnostic imaging and surgical management. , 2002, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[14]  S. Siddiqui.  Sialolithiasis: an unusually large submandibular salivary stone , 2002, British Dental Journal.

[15]  J. Constantinidis,et al.  Transoral removal of submandibular stones. , 2001, Archives of otolaryngology--head & neck surgery.

[16]  N. Drage,et al.  The management of sialolithiasis in 2 children through use of extracorporeal shock wave lithotripsy. , 1999, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[17]  A. Leung,et al.  Multiple sialoliths and a sialolith of unusual size in the submandibular duct: a case report. , 1999, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[18]  D. Paul,et al.  Salivary megalith with a sialo-cutaneous and a sialo-oral fistula: a case report , 1995, The Journal of Laryngology & Otology.

[19]  J. S. Hubar,et al.  "Megalith". , 1990, Oral surgery, oral medicine, and oral pathology.

[20]  D. Rice.  Advances in diagnosis and management of salivary gland diseases. , 1984, The Western journal of medicine.

[21]  G. Isacsson,et al.  The gigantiform salivary calculus. , 1982, International journal of oral surgery.

[22]  Williams Ac,et al.  Submandibular duct sialolith of unusual size and shape. , 1975 .

[23]  G. S. Hoggins.  Large calcified mass in the submaxillary gland. , 1968, Oral surgery, oral medicine, and oral pathology.

[24]  Allen Ne.  A sialolith within the submaxillary duct and gland: report of case. , 1956 .

[25]  N. E. Allen.  A sialolith within the submaxillary duct and gland: report of case. , 1956, Journal of oral surgery.

[26]  O. Roberg.  Sialolithiasis , 1904, The Hospital.