Giant Submandibular Sialolith presenting with Sialocutaneous and Sialo-Oral Fistula: A Case Report and Review of Literature
نویسنده
چکیده
Sialolithiasis is a common disease of the salivary glands and a major cause of salivary gland dysfunction. It commonly affects middle-aged and has male predominance. Submandibular gland or its duct is most commonly affected. The size of salivary calculi may vary from less than 1 mm to a few cm in the largest diameter. Salivary stones that exceed 15 mm in any dimension are classified as giant. Association of sialocutaneous or sialo-oral fistula with salivary stones is considered rare. Long-standing stones with chronic inflammatory process may lead to fistula formation.
منابع مشابه
Chronic sialadenitis with sialolithiasis associated with parapharyngeal fistula and tonsillolith
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 tonsilloli...
متن کاملGiant Submandibular Sialolith: A Case Report and Review of Literature
Sialolithiasis is the most common disease of salivary glands. Commonly, sialoliths measure from 5 to 10 mm in size and stones over 10 mm can be reported as sialoliths of unusual size. Giant sialoliths measuring more than 35 mm are extremely rare, with only around 17 cases published in the literature. We report an asymptomatic case of a sialolith in the submandibular duct measuring 62 × 20 mm an...
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Salivary gland calculi account for the most common disease of the salivary glands. Most of the salivary calculi are small in size. Some calculi that reach several centimeters are reported as megaliths or giant calculi in the literature. They may occur in any of the salivary gland ducts but are most common in Wharton's duct and in the submandibular gland. This report presents clinical and radiog...
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Sialoliths are common in submandibular salivary gland duct and rarely do they occur in the submandibular gland proper. Very rarely the stones within the gland achieve a gigantiform size, imposing difficulty for the oral physician to differentiate it from a calcified submandibular lymphnode. Fine Needle Aspiration Cytology, computed tomography and ultrasonography provides additional information ...
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We report the case of a 48-year-old man who had an unusually large submandibular gland sialolith (2.6 cm in greatest dimension), which led to sialadenitis and subsequent abscess formation. We describe the management of this patient and review the literature with emphasis on the various modalities available for diagnostic imaging.
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